| |
2349 East Higjway 50 Clermont FL 34711 | |
(352) 717-3760 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 2349 East Higjway 50, Clermont, Florida |
Authorized Official Name and Position | Scott C Brady (PRESIDENT) |
Authorized Official Contact | 4072002300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2600 Westhall Ln Ste 300 Maitland FL 32751-7107 Ph: (407) 200-2300 | 2349 East Higjway 50 Clermont FL 34711 Ph: (352) 717-3760 |
NPI Number | 1295304343 |
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Provider Enumeration Date | 06/23/2021 |
Last Update Date | 06/11/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295304343 | NPI | - | NPPES |
MEDICARE | Other | FL | DL090B |
111754201 | Medicaid | FL |
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