| Healthvine Medical Group Inc | |
|
725 Benton Ave Brooksville FL 34601-3213 | |
| (352) 796-1492 | |
| Not Available |
| Full Name | Healthvine Medical Group Inc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 725 Benton Ave, Brooksville, Florida |
| Authorized Official Name and Position | Maria D Doherty (PRESIDENT) |
| Authorized Official Contact | 3525699990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthvine Medical Group Inc 725 Benton Ave Brooksville FL 34601-3213 Ph: (352) 796-1492 | Healthvine Medical Group Inc 725 Benton Ave Brooksville FL 34601-3213 Ph: (352) 796-1492 |
| NPI Number | 1568826873 |
|---|---|
| Provider Enumeration Date | 04/12/2016 |
| Last Update Date | 04/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568826873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Florida) | Primary |
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