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Organization
PHYSICIAN PARTNERS MEDICAL GROUP LLC
Active
Organization
PHYSICIAN PARTNERS MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM STEELE (CEO)
(561) 385-0731
Entity
Organization
Contact information
Practice address
833 E OAK ST, KISSIMMEE, FL 34744-5838
(321) 422-4866
Mailing address
833 E OAK ST, KISSIMMEE, FL 34744-5838
(321) 422-4866
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207Q00000X
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11111
WELLCARE
FL
Enumeration date
05/03/2016
Last updated
05/03/2016
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