| |
45 Bryan Ave, Labelle, FL 33935-4647 | |
(863) 675-3427 | |
(863) 675-3809 |
Full Name | |
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Type | Facility |
Speciality | Family Medicine |
Location | 45 Bryan Ave, Labelle, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598807331 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH3602 (Florida) | Primary |
207Q00000X | Family Medicine | ME80423 (Florida) | Primary |
Mailing Address | Practice Location Address |
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45 Bryan Ave, Labelle, FL 33935-4647 Ph: (863) 675-3427 | 45 Bryan Ave, Labelle, FL 33935-4647 Ph: (863) 675-3427 |