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Organization
LRI MEDICAL
Active
Organization
LRI MEDICAL
Active
Parent organization
WEST FLORIDA MEDICAL ASSOCIATES PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST FLORIDA MEDICAL ASSOCIATES PA
Authorized official
MS. HONG LOSSING (ADMINISTRATOR)
(352) 746-0041
Entity
Organization
Contact information
Practice address
700 SE 5TH TER, STE 5, CRYSTAL RIVER, FL 34429-4878
(352) 364-8558
(352) 364-8558
Mailing address
PO BOX 919357, ORLANDO, FL 32891-9357
(352) 746-1558
(352) 746-3838
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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