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4757 The Grove Dr Ste 132 Windermere FL 34786-8426 | |
(407) 200-2300 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 4757 The Grove Dr Ste 132, Windermere, 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 Maitland FL 32751-7102 Ph: (407) 200-2300 | 4757 The Grove Dr Ste 132 Windermere FL 34786-8426 Ph: (407) 200-2300 |
NPI Number | 1275297293 |
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Provider Enumeration Date | 10/26/2021 |
Last Update Date | 04/18/2023 |
Identifier | Type | State | Issuer |
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1275297293 | NPI | - | NPPES |
DL090B | Other | FL | MEDICARE |
111754207 | Medicaid | FL |
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