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Organization
INNOVACARE TEXAS PHYSICIANS, LLC
Active
Organization
INNOVACARE TEXAS PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LESLIE PRIZANT (DELEGATED OFFICIAL)
(201) 575-6087
Entity
Organization
Contact information
Practice address
6900 TAVISTOCK LAKES BLVD STE 300, ORLANDO, FL 32827-7592
(321) 332-6947
Mailing address
6900 TAVISTOCK LAKES BLVD STE 300, ORLANDO, FL 32827-7592
(321) 332-6947
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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