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Organization
MID FLORIDA PHYSICIANS GROUP INC.
Active
Organization
MID FLORIDA PHYSICIANS GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERROLD RANDALL ECKLIND DO (PRESIDENT)
(386) 290-6721
Entity
Organization
Contact information
Practice address
300 S MAIN ST, WILDWOOD, FL 34785-4542
(352) 643-6699
(888) 675-8377
Mailing address
300 S MAIN ST STE 2, WILDWOOD, FL 34785-4542
(352) 643-6699
(888) 643-6699
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/23/2018
Last updated
06/28/2023
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