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Organization
PHYSICIANS HOME VISITS LLC
Active
Organization
PHYSICIANS HOME VISITS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KURTIS A HOSTETTER M.D. (MGRM)
(407) 878-3031
Entity
Organization
Contact information
Practice address
3624 SIMONTON PL, LAKE MARY, FL 32746-6741
(407) 878-3031
Mailing address
3624 SIMONTON PLACE, LAKE MARY, FL 32746-6741
(407) 878-3031
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME103141
FL
Other
Enumeration date
11/03/2010
Last updated
11/03/2010
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