| Florida Facilitists, Llc | |
|
1450 W Lake Brantley Rd Longwood FL 32779-4766 | |
| (321) 273-0301 | |
| Not Available |
| Full Name | Florida Facilitists, Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1450 W Lake Brantley Rd, Longwood, Florida |
| Authorized Official Name and Position | John Hanson Rauch (MANAGER) |
| Authorized Official Contact | 3212730301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Facilitists, Llc 2000 Prevatt St Suite B3 Eustis FL 32726-6149 Ph: (321) 273-0301 | Florida Facilitists, Llc 1450 W Lake Brantley Rd Longwood FL 32779-4766 Ph: (321) 273-0301 |
| NPI Number | 1043252307 |
|---|---|
| Provider Enumeration Date | 06/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043252307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
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