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1425 S Us 301 Sumterville FL 33585-5141 | |
(352) 793-5900 | |
(352) 793-6269 |
Full Name | |
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Speciality | Private Vehicle |
Location | 1425 S Us 301, Sumterville, Florida |
Authorized Official Name and Position | Thomas G Chase (CEO) |
Authorized Official Contact | 3527935900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1425 S Us 301 Sumterville FL 33585-5141 Ph: (352) 793-5900 | 1425 S Us 301 Sumterville FL 33585-5141 Ph: (352) 793-5900 |
NPI Number | 1184122517 |
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Provider Enumeration Date | 01/31/2018 |
Last Update Date | 08/02/2021 |
Identifier | Type | State | Issuer |
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1184122517 | NPI | - | NPPES |