Professional Family Practice | |
725 Almond St Clermont FL 34711-3120 | |
(352) 404-7707 | |
(888) 488-0722 |
Full Name | Professional Family Practice |
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Speciality | Clinic/center - Primary Care |
Location | 725 Almond St, Clermont, Florida |
Authorized Official Name and Position | Purnama D Madray (OWNER) |
Authorized Official Contact | 3524047707 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Professional Family Practice 2105 Hartwood Marsh Rd Clermont FL 34711-5389 Ph: (352) 404-7707 | Professional Family Practice 725 Almond St Clermont FL 34711-3120 Ph: (352) 404-7707 |
NPI Number | 1275962680 |
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Provider Enumeration Date | 11/06/2013 |
Last Update Date | 02/26/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275962680 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | ME85427 (Florida) | Primary |
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