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Organization (NPI-2)
Active
Clinic/Center, Multi-Specialty
Provider Information
- NPI Number
1790108058- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 5304 MILE STRETCH DR, HOLIDAY, FL, 346906060
- Phone
- (877) 202-1191
- Fax
- (866) 404-2411
Specialties & Taxonomies
Internal Medicine, Pulmonary Disease
Nurse Practitioner
Technician, Cardiology
Internal Medicine, Interventional Cardiology
Clinic/Center, Multi-Specialty
Primary