| St Mina Primary Clinic | |
|
17222 Hospital Blvd Suite 242 Brooksville FL 34601-8925 | |
| (352) 796-5102 | |
| (352) 796-2144 |
| Full Name | St Mina Primary Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 17222 Hospital Blvd, Brooksville, Florida |
| Authorized Official Name and Position | Lawandy Fawzy Bolis (OWNER) |
| Authorized Official Contact | 3527965102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Mina Primary Clinic 14391 Spring Hill Dr Suite 444 Spring Hill FL 34609-8199 Ph: (352) 796-5102 | St Mina Primary Clinic 17222 Hospital Blvd Suite 242 Brooksville FL 34601-8925 Ph: (352) 796-5102 |
| NPI Number | 1093057986 |
|---|---|
| Provider Enumeration Date | 03/19/2013 |
| Last Update Date | 03/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093057986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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