| Healthnet Of Central Florida Pa | |
|
1785 Garden St Titusville FL 32796-3221 | |
| (321) 264-1000 | |
| (321) 264-4228 |
| Full Name | Healthnet Of Central Florida Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1785 Garden St, Titusville, Florida |
| Authorized Official Name and Position | Stephen J Lagergren (PRESIDENT) |
| Authorized Official Contact | 3212641000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthnet Of Central Florida Pa Po Box 3087 1785 Garden Street Titusville FL 32781-3087 Ph: (321) 264-1000 | Healthnet Of Central Florida Pa 1785 Garden St Titusville FL 32796-3221 Ph: (321) 264-1000 |
| NPI Number | 1285796052 |
|---|---|
| Provider Enumeration Date | 12/15/2006 |
| Last Update Date | 04/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285796052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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