| Mulberry Medical Group Pa | |
|
8489 Se 165th Mulberry Ln The Villages FL 32162-5847 | |
| (352) 259-7900 | |
| (352) 259-7966 |
| Full Name | Mulberry Medical Group Pa |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 8489 Se 165th Mulberry Ln, The Villages, Florida |
| Authorized Official Name and Position | Guillermo B Avecilla (PRESIDENT) |
| Authorized Official Contact | 3522597900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mulberry Medical Group Pa Po Box 587 Oxford FL 34484-0587 Ph: (352) 259-7900 | Mulberry Medical Group Pa 8489 Se 165th Mulberry Ln The Villages FL 32162-5847 Ph: (352) 259-7900 |
| NPI Number | 1417132465 |
|---|---|
| Provider Enumeration Date | 01/08/2008 |
| Last Update Date | 08/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417132465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME80865 (Florida) | Primary |
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