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Organization
TEN BROECK TENNESSEE PHYSICIANS GROUP INC
Active
Organization
TEN BROECK TENNESSEE PHYSICIANS GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENDA F GUY (DIRECTOR, COMPLIANCE)
(931) 607-6513
Entity
Organization
Contact information
Practice address
603 MAIN ST, WINDERMERE, FL 34786-3548
(407) 876-2200
(407) 876-5959
Mailing address
603 MAIN ST, WINDERMERE, FL 34786-3548
(407) 876-2200
(407) 876-5959
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
—
NULL
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
—
—
Other
Enumeration date
04/18/2014
Last updated
02/22/2021
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