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Organization
SOUTH FLORIDA MEDICAL CLINIC INC.
Active
Organization
SOUTH FLORIDA MEDICAL CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HECTOR R COLLAZO-RAMIS (DIRECTOR)
(813) 484-9185
Entity
Organization
Contact information
Practice address
3129 S FLORIDA AVE, LAKELAND, FL 33803-4563
(813) 484-9185
Mailing address
3129 S FLORIDA AVE, LAKELAND, FL 33803-4563
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME67822
FL
Other
Enumeration date
01/25/2010
Last updated
01/25/2010
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