| Internal Medicine Grp Of Central Fl Dba Lake Nona Medical Center | |
|
10437 Moss Park Rd Orlando FL 32832 | |
| (407) 802-1100 | |
| (407) 802-1111 |
| Full Name | Internal Medicine Grp Of Central Fl Dba Lake Nona Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 10437 Moss Park Rd, Orlando, Florida |
| Authorized Official Name and Position | David Trevett (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 4078021102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Grp Of Central Fl Dba Lake Nona Medical Center 10437 Moss Park Rd Orlando FL 32832 Ph: (407) 802-1100 | Internal Medicine Grp Of Central Fl Dba Lake Nona Medical Center 10437 Moss Park Rd Orlando FL 32832 Ph: (407) 802-1100 |
| NPI Number | 1932133279 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 03/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932133279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208M00000X | Hospitalist | ME73656 (Florida) | Secondary |
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