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7236 State Road 52 Ste 13 Hudson FL 34667-6749 | |
| (727) 233-6084 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 7236 State Road 52 Ste 13, Hudson, Florida |
| Authorized Official Name and Position | Kayode Balogun (CEO) |
| Authorized Official Contact | 8622162617 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7236 State Road 52 Ste 13 Hudson FL 34667-6749 Ph: (727) 233-6084 | 7236 State Road 52 Ste 13 Hudson FL 34667-6749 Ph: (727) 233-6084 |
| NPI Number | 1134888621 |
|---|---|
| Provider Enumeration Date | 12/11/2021 |
| Last Update Date | 01/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134888621 | NPI | - | NPPES |
| 210079717 | Medicaid | MO |
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