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Organization
MEDICAL PHYSICIANS GROUP PLLC
Active
Organization
MEDICAL PHYSICIANS GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAT LEUNG MD (CEO/PHYSICIAN)
(863) 874-0898
Entity
Organization
Contact information
Practice address
290 NW PEACOCK BLVD # 880891, PORT SAINT LUCIE, FL 34986-2205
(816) 398-8916
Mailing address
PO BOX 186, UNIT 186, MACCLENNY, FL 32063
(863) 874-0898
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124461124
NPI
—
Enumeration date
08/23/2018
Last updated
01/14/2019
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