| Chuluota Clinic, Llc | |
|
107 8th St W Chuluota FL 32766-8924 | |
| (407) 542-7961 | |
| Not Available |
| Full Name | Chuluota Clinic, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 107 8th St W, Chuluota, Florida |
| Authorized Official Name and Position | Michael George Pruner (OWNER) |
| Authorized Official Contact | 4075427961 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chuluota Clinic, Llc 107 8th St W Chuluota FL 32766-8924 Ph: (407) 542-7961 | Chuluota Clinic, Llc 107 8th St W Chuluota FL 32766-8924 Ph: (407) 542-7961 |
| NPI Number | 1508119637 |
|---|---|
| Provider Enumeration Date | 10/26/2012 |
| Last Update Date | 10/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508119637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 182428 (Florida) | Primary |
Unified Health Solutions Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Wax Palm Ln, Chuluota, FL 32766 Phone: 407-603-5721 |