Zisholtz Family Practice Pa

NPI 1932130457 - Family Medicine - 207Q00000X

NPI Details
NPI 1932130457
Enumeration Date 07/05/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name TODD C TODD
Position OWNER
Phone (352) 383-1324
Fax
Practice Location
1502 N DONNELLY STREET
SUITE 106
MT DORA FL, 32757, US
Phone (352) 383-1324
Fax
Business Location
PO BOX 914
MT DORA FL, 32756, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Florida
License Number ME94395
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According to our database, Zisholtz Family Practice Pa NPI is 1932130457, taxonomy code is 207Q00000X and license number is ME94395, license state is located at Florida. Zisholtz Family Practice Pa physically located at 1502 N Donnelly Street, Mt Dora FL, 32757. NPI Number 1033115704 has the healthcare provider type.

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1932130457 NPI number is provided on an as is basis without warranty of any kind. 1932130457 is maintained by the National Plan & Provider Enumeration System. The contents of Zisholtz Family Practice Pa are for informational purposes only.