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Organization
FAMILY MEDICAL CARE OF MOUNT DORA INC
Active
Organization
FAMILY MEDICAL CARE OF MOUNT DORA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN N BOUCHER (CEO)
(407) 834-7800
Entity
Organization
Contact information
Practice address
17580 US HIGHWAY 441, MOUNT DORA, FL 32757-6711
(352) 383-8200
Mailing address
PO BOX 1844, MOUNT DORA, FL 32756-1844
(352) 383-8200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
HCC10266
FL
Other
Enumeration date
06/02/2014
Last updated
01/30/2015
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