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Organization
MIDFLORIDA INTERNAL MEDICINE ASSOCIATES, PA
Active
Organization
MIDFLORIDA INTERNAL MEDICINE ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS STEPHANIE N NALKER (CONTRACTING/CREDENTIALING)
(863) 293-9500
Entity
Organization
Contact information
Practice address
675 AVENUE L SE, WINTER HAVEN, FL 33880-4219
(863) 293-9500
(863) 293-9511
Mailing address
320 1ST ST N, WINTER HAVEN, FL 33881-4113
(863) 293-9500
(863) 293-4994
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0068923
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2502488800
—
FL
Enumeration date
02/26/2008
Last updated
02/17/2015
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