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235 Citrus Tower Blvd Ste 104 Clermont FL 34711 | |
| (772) 663-2492 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | General Practice |
| Location | 235 Citrus Tower Blvd Ste 104, Clermont, Florida |
| Authorized Official Name and Position | Obed N Saint-louis (OWNER) |
| Authorized Official Contact | 7726632492 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
235 Citrus Tower Boulevard Suite 104 Clermont FL 34711 Ph: (352) 404-8160 | 235 Citrus Tower Blvd Ste 104 Clermont FL 34711 Ph: (772) 663-2492 |
| NPI Number | 1306353842 |
|---|---|
| Provider Enumeration Date | 01/05/2018 |
| Last Update Date | 09/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306353842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME216938 (Florida) | Primary |
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