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Organization
VERIMED HEALTH GROUP BROOKSVILLE LLC
Active
Organization
VERIMED HEALTH GROUP BROOKSVILLE LLC
Active
Other names
VERIMED HEALTH GROUP BROOKSVILLE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARLA QUINONES (ADMINISTRATOR)
(813) 469-6334
Entity
Organization
Contact information
Practice address
932 CANDLELIGHT BLVD, BROOKSVILLE, FL 34601-3116
(352) 345-8185
(352) 345-8073
Mailing address
932 CANDLELIGHT BLVD, BROOKSVILLE, FL 34601-3116
(352) 345-8185
(352) 345-8073
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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