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Organization
FLORIDA PHYSICIANS MEDICAL GROUP INC
Active
Organization
FLORIDA PHYSICIANS MEDICAL GROUP INC
Active
Other names
Family Practice Center of Avon Park
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN STILTZ (PRESIDENT)
(407) 200-2700
Entity
Organization
Contact information
Practice address
1006 W PLEASANT ST, AVON PARK, FL 33825-2966
(863) 453-3121
(863) 452-2823
Mailing address
PO BOX 538600, ORLANDO, FL 32853-8600
(407) 200-2700
(407) 200-4904
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
363AM0700X
Medical Physician Assistant
—
NULL
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
06/29/2006
Last updated
01/07/2008
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