Fernhill Family Medicine Llc | |
4601 N Highway 19a Mount Dora FL 32757-2039 | |
(352) 589-9090 | |
(352) 589-1433 |
Full Name | Fernhill Family Medicine Llc |
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Speciality | Family Medicine |
Location | 4601 N Highway 19a, Mount Dora, Florida |
Authorized Official Name and Position | Kumaran Kondath Mohan (DIRECT OWNER) |
Authorized Official Contact | 3525899090 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fernhill Family Medicine Llc 4601 N Highway 19a Mount Dora FL 32757-2039 Ph: (352) 589-9090 | Fernhill Family Medicine Llc 4601 N Highway 19a Mount Dora FL 32757-2039 Ph: (352) 589-9090 |
NPI Number | 1871641209 |
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Provider Enumeration Date | 01/08/2007 |
Last Update Date | 10/26/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871641209 | NPI | - | NPPES |
265990500 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME 83819 (Florida) | Primary |
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Jerry M Alstott Md Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8030 Saint James Way, Mount Dora, FL 32757 Phone: 407-908-0064 Fax: 352-383-9319 | |
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