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Organization
FLORIDA HOSPITAL MEDICAL GROUP INC
Active
Organization
FLORIDA HOSPITAL MEDICAL GROUP INC
Active
Parent organization
FLORIDA HOSPITAL MEDICAL GROUP INC
Other names
Breast Care Center of Florida, AdventHealth Medical Group Breast Surgery at Winter Park
Organization subpart
Yes
Provider details
NPI number
Legal business name
FLORIDA HOSPITAL MEDICAL GROUP INC
Authorized official
MR. VANCE ALAN MCLARREN (COO)
(407) 200-2700
Entity
Organization
Contact information
Practice address
1925 MIZELL AVE STE 105, WINTER PARK, FL 32792-4155
(076) 467-4104
(407) 646-7412
Mailing address
1925 MIZELL AVE STE 105, WINTER PARK, FL 32792-4155
(076) 467-4104
(407) 646-7412
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
237620
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
237620
MAMMOGRAPHY CERT#
FL
Enumeration date
09/08/2009
Last updated
06/04/2024
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