| Physicians Housecall Team, Llc | |
|
1225 Havendale Blvd Nw #338 Winter Haven FL 33881-1349 | |
| (863) 268-2921 | |
| (863) 268-2923 |
| Full Name | Physicians Housecall Team, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1225 Havendale Blvd Nw, Winter Haven, Florida |
| Authorized Official Name and Position | Byron Renard Dean (CEO) |
| Authorized Official Contact | 4077196673 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physicians Housecall Team, Llc 3616 Harden Blvd #311 Lakeland FL 33803-5938 Ph: (863) 268-2921 | Physicians Housecall Team, Llc 1225 Havendale Blvd Nw #338 Winter Haven FL 33881-1349 Ph: (863) 268-2921 |
| NPI Number | 1013300912 |
|---|---|
| Provider Enumeration Date | 03/17/2015 |
| Last Update Date | 04/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013300912 | NPI | - | NPPES |
| 245345600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS9203 (Florida) | Primary |
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