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Organization
PHYSICIANS HOUSECALL TEAM, LLC
Active
Organization
PHYSICIANS HOUSECALL TEAM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BYRON RENARD DEAN D.O. (CEO)
(407) 719-6673
Entity
Organization
Contact information
Practice address
1225 HAVENDALE BLVD NW, #338, WINTER HAVEN, FL 33881-1349
(863) 268-2921
(863) 268-2923
Mailing address
3616 HARDEN BLVD, #311, LAKELAND, FL 33803-5938
(863) 268-2921
(863) 268-2923
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS9203
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
245345600
—
FL
Enumeration date
03/17/2015
Last updated
04/16/2015
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