| Magnus Medical Center Inc | |
|
2105 S Park Ave Sanford FL 32771-4349 | |
| (407) 330-9082 | |
| (407) 574-3541 |
| Full Name | Magnus Medical Center Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 2105 S Park Ave, Sanford, Florida |
| Authorized Official Name and Position | Meureen O Daniel (SOLO PRACTITIONER) |
| Authorized Official Contact | 3216623591 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnus Medical Center Inc 2105 S Park Ave Sanford FL 32771-4349 Ph: (407) 330-9082 | Magnus Medical Center Inc 2105 S Park Ave Sanford FL 32771-4349 Ph: (407) 330-9082 |
| NPI Number | 1770598252 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 06/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770598252 | NPI | - | NPPES |
| 268055600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0625558 (Florida) | Primary |
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