Registry details
Type
Organization
Primary specialty
Family Medicine
Enumerated
Aug 13, 2020
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1370 HAMPSTEAD TER | Oviedo, FL 32765-5119 | 407-353-5055 |
| LOCATION | 1370 HAMPSTEAD TER | Oviedo, FL 32765-5119 | 407-353-5055 |
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.