# FLORIDA PHYSICIANS MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Practice Center of Avon Park
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285662221
- **Authorized official:** BRYAN STILTZ (PRESIDENT)
- **Authorized official phone:** (407) 200-2700

## Contact information

- **Practice address:** 1006 W PLEASANT ST, AVON PARK, FL 33825-2966
- **Practice address phone:** (863) 453-3121
- **Practice address fax:** (863) 452-2823
- **Mailing address:** PO BOX 538600, ORLANDO, FL 32853-8600
- **Mailing address phone:** (407) 200-2700
- **Mailing address fax:** (407) 200-4904

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 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