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Organization
PHOENIX VIRTUAL TELEHEALTH INCORPORATED
Active
Organization
PHOENIX VIRTUAL TELEHEALTH INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE FLOOD PA-C (PRESIDENT)
(321) 222-9287
Entity
Organization
Contact information
Practice address
7901 4TH STREET N, STE 300, C/O REGISTERED AGENTS INC, ST PETERSBURG, FL 33702-4399
(321) 222-9287
(830) 255-5842
Mailing address
PO BOX 974, HURLEY, MS 39555-0974
(321) 222-9287
(830) 255-5842
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/21/2020
Last updated
06/21/2020
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