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Organization
HEALTHNET OF CENTRAL FLORIDA PA
Active
Organization
HEALTHNET OF CENTRAL FLORIDA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN J LAGERGREN M.D. (PRESIDENT)
(321) 264-1000
Entity
Organization
Contact information
Practice address
1785 GARDEN ST, TITUSVILLE, FL 32796-3221
(321) 264-1000
(321) 264-4228
Mailing address
PO BOX 3087, 1785 GARDEN STREET, TITUSVILLE, FL 32781-3087
(321) 264-1000
(321) 264-4228
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/15/2006
Last updated
04/04/2012
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