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Organization
WEIRSDALE FAMILY HEALTH CENTER INC
Active
Organization
WEIRSDALE FAMILY HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DHARTI BISHT (ADMINISTRATOR)
(352) 821-9797
Entity
Organization
Contact information
Practice address
16400 S HIGHWAY 25, WEIRSDALE, FL 32195-0008
(352) 821-9797
(352) 821-0553
Mailing address
16400 S HIGHWAY 25, WEIRSDALE, FL 32195-2442
(352) 821-9797
(352) 821-0553
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
FL
363AM0700X
Medical Physician Assistant
—
NULL
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/27/2006
Last updated
07/03/2023
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