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3565 E Suzie Ln Inverness FL 34452-3250 | |
| (352) 527-6888 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 3565 E Suzie Ln, Inverness, Florida |
| Authorized Official Name and Position | Dacelin St Martin (OWNER) |
| Authorized Official Contact | 3526848736 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 2066 Lecanto FL 34460-2066 Ph: (352) 634-8736 | 3565 E Suzie Ln Inverness FL 34452-3250 Ph: (352) 527-6888 |
| NPI Number | 1710674205 |
|---|---|
| Provider Enumeration Date | 04/24/2023 |
| Last Update Date | 09/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710674205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
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