| Innova Medical Pllc | |
|
740 Cool Springs Blvd Suite 120 Franklin TN 37067-6448 | |
| (615) 550-6097 | |
| Not Available |
| Full Name | Innova Medical Pllc |
|---|---|
| Speciality | General Practice |
| Location | 740 Cool Springs Blvd, Franklin, Tennessee |
| Authorized Official Name and Position | Jeffrey Anthony Miceli (PRESIDENT) |
| Authorized Official Contact | 6154148459 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innova Medical Pllc 1989 Brisbane Dr Spring Hill TN 37174-8575 Ph: () - | Innova Medical Pllc 740 Cool Springs Blvd Suite 120 Franklin TN 37067-6448 Ph: (615) 550-6097 |
| NPI Number | 1194066472 |
|---|---|
| Provider Enumeration Date | 03/11/2013 |
| Last Update Date | 03/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194066472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | MD31405 (Tennessee) | Primary |
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