| Plant City Medical Group, Llc | |
|
2021 N Wheeler St Ste 100 Plant City FL 33563-1860 | |
| (561) 866-8186 | |
| Not Available |
| Full Name | Plant City Medical Group, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2021 N Wheeler St Ste 100, Plant City, Florida |
| Authorized Official Name and Position | Christopher Kirby (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8137565666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plant City Medical Group, Llc 2021 N Wheeler St Ste 100 Plant City FL 33563-1860 Ph: (561) 866-8186 | Plant City Medical Group, Llc 2021 N Wheeler St Ste 100 Plant City FL 33563-1860 Ph: (561) 866-8186 |
| NPI Number | 1730626656 |
|---|---|
| Provider Enumeration Date | 01/30/2017 |
| Last Update Date | 03/10/2020 |
| Certification Date | 03/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730626656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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