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Organization
MEDICAL ASSOCIATES OF CENTRAL FLORIDA PHYSICIANS, LLC
Active
Organization
MEDICAL ASSOCIATES OF CENTRAL FLORIDA PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DWIGHT PEREZ (CREDENTIALING SPECIALIST)
(305) 733-5713
Entity
Organization
Contact information
Practice address
1110 DRUID CIR, LAKE WALES, FL 33853-4307
(863) 877-2411
Mailing address
1110 DRUID CIR, LAKE WALES, FL 33853-4307
(863) 877-2411
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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