| Sylvania Family Physicians, Llc | |
|
5965 Renaissance Pl Bldg 3 Toledo OH 43623-4709 | |
| (419) 885-0900 | |
| (419) 824-6447 |
| Full Name | Sylvania Family Physicians, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5965 Renaissance Pl, Toledo, Ohio |
| Authorized Official Name and Position | Marilyn Agee (OWNER) |
| Authorized Official Contact | 4198850900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sylvania Family Physicians, Llc 5965 Renaissance Pl Bldg 3 Toledo OH 43623-4709 Ph: (419) 885-0900 | Sylvania Family Physicians, Llc 5965 Renaissance Pl Bldg 3 Toledo OH 43623-4709 Ph: (419) 885-0900 |
| NPI Number | 1205862349 |
|---|---|
| Provider Enumeration Date | 06/23/2006 |
| Last Update Date | 02/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205862349 | NPI | - | NPPES |
| 2656513 | Medicaid | OH | |
| DB3333 | Other | OH | RAILROAD MEDICARE |
| 000000323550 | Other | OH | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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