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Organization
FIDELITY PREMIER GROUP INC
Active
Organization
FIDELITY PREMIER GROUP INC
Active
Other names
Fidelity Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREDDY DURAN (AUTHORIZED OFFICIAL)
(813) 438-4338
Entity
Organization
Contact information
Practice address
11406 N DALE MABRY HWY STE 105, TAMPA, FL 33618-3879
(813) 438-4338
(813) 438-4968
Mailing address
11406 N DALE MABRY HWY STE 105, TAMPA, FL 33618-3879
(813) 438-4338
(813) 438-4968
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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