| Physician Services Of Florida Llc | |
|
200 E Marks St Orlando FL 32803-3819 | |
| (407) 480-5986 | |
| Not Available |
| Full Name | Physician Services Of Florida Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 200 E Marks St, Orlando, Florida |
| Authorized Official Name and Position | Casey Deloach (MANAGER) |
| Authorized Official Contact | 8888298550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Services Of Florida Llc 3113 Lawton Rd Ste 250 Orlando FL 32803-3517 Ph: (407) 480-5986 | Physician Services Of Florida Llc 200 E Marks St Orlando FL 32803-3819 Ph: (407) 480-5986 |
| NPI Number | 1942689138 |
|---|---|
| Provider Enumeration Date | 05/21/2015 |
| Last Update Date | 05/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942689138 | NPI | - | NPPES |
| PHC059 | Other | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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