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2250 Osprey Blvd Suite 100 Bartow FL 33830-4340 | |
| (863) 533-7151 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 2250 Osprey Blvd, Bartow, Florida |
| Authorized Official Name and Position | Jason Hirsbrunner (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8636807007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1600 Lakeland Hills Blvd Lakeland FL 33805-3019 Ph: (863) 680-7000 | 2250 Osprey Blvd Suite 100 Bartow FL 33830-4340 Ph: (863) 533-7151 |
| NPI Number | 1518005966 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 03/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518005966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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