| Physician Management Services Of Florida Llc | |
|
400 Gatlin Ave Orlando FL 32806-6940 | |
| (888) 829-8550 | |
| (888) 843-7191 |
| Full Name | Physician Management Services Of Florida Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 400 Gatlin Ave, Orlando, Florida |
| Authorized Official Name and Position | Casey Deloach (PRESIDENT) |
| Authorized Official Contact | 8888298550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Management Services Of Florida Llc 400 Gatlin Ave Orlando FL 32806-6940 Ph: (888) 829-8550 | Physician Management Services Of Florida Llc 400 Gatlin Ave Orlando FL 32806-6940 Ph: (888) 829-8550 |
| NPI Number | 1679883151 |
|---|---|
| Provider Enumeration Date | 10/18/2010 |
| Last Update Date | 09/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679883151 | NPI | - | NPPES |
| PHC059 | Other | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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