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Organization
TOWN CENTER FAMILY MEDICINE LLC
Active
Organization
TOWN CENTER FAMILY MEDICINE LLC
Active
Other names
Town Center Medical
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD BLACK (OWNER/PARTNER)
(386) 788-6616
Entity
Organization
Contact information
Practice address
610 SYCAMORE ST, SUITE 130, CELEBRATION, FL 34747-4995
(386) 788-6616
Mailing address
610 SYCAMORE ST, SUITE 130, CELEBRATION, FL 34747-4995
(386) 788-6616
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
ME100993
FL
Other
Enumeration date
06/13/2012
Last updated
03/27/2015
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