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Organization

MD2U FLORIDA LLC

Active
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Organization

MD2U FLORIDA LLC

Active
Parent organization
MD2U MANAGEMENT LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
MD2U MANAGEMENT LLC
Authorized official
GREGORY D. LATTA (CFO/CIO)
(502) 416-1851
Entity
Organization

Contact information

Practice address
10151 DEERWOOD PARK BLVD, 200-250, JACKSONVILLE, FL 32256-0566
(502) 327-9100
(502) 742-3767
Mailing address
PO BOX 7219, LOUISVILLE, KY 40257-0219
(502) 416-1851
(502) 416-1857

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
NULL
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—

Other

Enumeration date
05/17/2011
Last updated
09/25/2012
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