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Mailcode Dnps State Rd 405 Kennedy Space Center FL 32899-0001 | |
(407) 200-2300 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Urgent Care |
Location | Mailcode Dnps State Rd 405, Kennedy Space Center, 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 | Mailcode Dnps State Rd 405 Kennedy Space Center FL 32899-0001 Ph: (407) 200-2300 |
NPI Number | 1801657614 |
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Provider Enumeration Date | 01/18/2024 |
Last Update Date | 04/15/2024 |
Identifier | Type | State | Issuer |
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1801657614 | NPI | - | NPPES |