Florida Internal Medicine Pa

NPI 1831136274 - Internal Medicine - 207R00000X

NPI Details
NPI 1831136274
Enumeration Date 06/02/2006
Last Updated 08/23/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name GLEN F GLEN
Position PRESIDENT
Phone (407) 333-2503
Fax (407) 333-0962
Practice Location
4106 W LAKE MARY BLVD
SUITE 301
LAKE MARY FL, 32746-3315, US
Phone (407) 333-2503
Fax (407) 333-0962
Business Location
4106 W LAKE MARY BLVD
SUITE 301
LAKE MARY FL, 32746-3315, US
Phone (407) 333-2503
Fax (407) 333-0962
Toxanomy
Taxonomy Code 207R00000X
License State
License Number
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According to our database, Florida Internal Medicine Pa NPI is 1831136274, taxonomy code is 207R00000X Florida Internal Medicine Pa physically located at 4106 W Lake Mary Blvd, Lake Mary FL, 32746-3315. NPI Number 1033115704 has the healthcare provider type.

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1831136274 NPI number is provided on an as is basis without warranty of any kind. 1831136274 is maintained by the National Plan & Provider Enumeration System. The contents of Florida Internal Medicine Pa are for informational purposes only.