| Graham Family Medicine, P.a. | |
|
679 Douglas Ave Altamonte Springs FL 32714-2555 | |
| (407) 774-4911 | |
| (407) 862-4911 |
| Full Name | Graham Family Medicine, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 679 Douglas Ave, Altamonte Springs, Florida |
| Authorized Official Name and Position | Russell Matthew Graham (PHYSICIAN/OWNER) |
| Authorized Official Contact | 4077744911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Graham Family Medicine, P.a. 679 Douglas Ave Altamonte Springs FL 32714-2555 Ph: (407) 774-4911 | Graham Family Medicine, P.a. 679 Douglas Ave Altamonte Springs FL 32714-2555 Ph: (407) 774-4911 |
| NPI Number | 1922032515 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922032515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME46929 (Florida) | Primary |
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