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Organization
FLORIDA MEDICAL SPECIALISTS, LLC
Active
Organization
FLORIDA MEDICAL SPECIALISTS, LLC
Active
Other names
Ridge Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
INITA BEDI (SENIOR VP OF CLINICAL OPERATIONS)
(941) 202-5338
Entity
Organization
Contact information
Practice address
405 S 11TH ST, LAKE WALES, FL 33853-4202
(863) 679-8000
(863) 679-2694
Mailing address
PO BOX 25487, SARASOTA, FL 34277-2487
(941) 259-0926
(855) 253-4836
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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