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Organization
MODO BIO, LLC
Active
Organization
MODO BIO, LLC
Active
Other names
Modo Bio Health Systems LLC
Organization subpart
No
Provider details
NPI number
Authorized official
GARY VISSER MD (MEDICAL DIRECTOR)
(480) 681-0406
Entity
Organization
Contact information
Practice address
11225 WILLOW GARDENS DR, WINDERMERE, FL 34786-6020
(480) 681-0406
Mailing address
14275 N 87TH ST STE 115, SCOTTSDALE, AZ 85260-3696
(480) 681-0406
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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