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Organization
PRIMARY CARE PHYSICIANS OF SANFORD LLC
Active
Organization
PRIMARY CARE PHYSICIANS OF SANFORD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT JOSEPH MAMONE D.O (PRESIDENT)
(407) 324-5035
Entity
Organization
Contact information
Practice address
309 W 1ST ST, SANFORD, FL 32771-1205
(407) 324-5035
(407) 321-5266
Mailing address
309 W 1ST ST, SANFORD, FL 32771-1205
(407) 324-5035
(407) 321-5266
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS6401
FL
208000000X
Pediatrics Physician
OS6404
FL
Other
Enumeration date
06/06/2008
Last updated
06/16/2008
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