Fernhill Family Medicine Llc

NPI 1871641209 - Family Medicine - 207Q00000X

NPI Details
NPI 1871641209
Enumeration Date 01/08/2007
Last Updated 10/26/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KUMARAN KONDATH KUMARAN
Position DIRECT OWNER
Phone (352) 589-9090
Fax (352) 589-1433
Practice Location
4601 N HIGHWAY 19A
MOUNT DORA FL, 32757-2039, US
Phone (352) 589-9090
Fax (352) 589-1433
Business Location
4601 N HIGHWAY 19A
MOUNT DORA FL, 32757-2039, US
Phone (352) 589-9090
Fax (352) 589-1433
Toxanomy
Taxonomy Code 207Q00000X
License State Florida
License Number ME 83819
Remove 1871641209 NPI Number
 

According to our database, Fernhill Family Medicine Llc NPI is 1871641209, taxonomy code is 207Q00000X and license number is ME 83819, license state is located at Florida. Fernhill Family Medicine Llc physically located at 4601 N Highway 19a, Mount Dora FL, 32757-2039. NPI Number 1033115704 has the healthcare provider type.

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1871641209 NPI number is provided on an as is basis without warranty of any kind. 1871641209 is maintained by the National Plan & Provider Enumeration System. The contents of Fernhill Family Medicine Llc are for informational purposes only.