Registry details
Type
Organization
Primary specialty
Family Medicine
Enumerated
Oct 25, 2013
License(s)
PO3351 (FL), ME102757 (FL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 14391 SPRING HILL DR SUITEE 444 | Spring Hill, FL 34609-8199 | 352-796-5102 |
| LOCATION | 17222 HOSPITAL BLVD SUITE 242 | Brooksville, FL 34601-8925 | 352-796-5102 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.