Avon Park Medical Group, Llc. | |
1023 Us Highway 27 S Avon Park FL 33825-5107 | |
(813) 888-8215 | |
Not Available |
Full Name | Avon Park Medical Group, Llc. |
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Speciality | Clinic/center |
Location | 1023 Us Highway 27 S, Avon Park, Florida |
Authorized Official Name and Position | Antonio Calvo (COO) |
Authorized Official Contact | 8139995309 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Avon Park Medical Group, Llc. 5901 Webb Rd Tampa FL 33615-3219 Ph: (813) 888-8215 | Avon Park Medical Group, Llc. 1023 Us Highway 27 S Avon Park FL 33825-5107 Ph: (813) 888-8215 |
NPI Number | 1225641954 |
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Provider Enumeration Date | 08/24/2020 |
Last Update Date | 08/24/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225641954 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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