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Organization
INTEGRATED INDEPENDENT PHYSICIANS NETWORK, LLC
Active
Organization
INTEGRATED INDEPENDENT PHYSICIANS NETWORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY MONNETT (EXECUTIVE ASSISTA NT)
(407) 475-9213
Entity
Organization
Contact information
Practice address
1101 N LAKE DESTINY RD STE 300, MAITLAND, FL 32751-7121
(407) 475-9213
(407) 475-9203
Mailing address
1101 N LAKE DESTINY RD STE 300, MAITLAND, FL 32751-7121
(407) 475-9213
(407) 475-9203
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
NULL
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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