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Organization
HEALTHY FAMILY MEDICAL GROUP, LLC
Active
Organization
HEALTHY FAMILY MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA BERESFORD (SECRETARY)
(340) 642-3813
Entity
Organization
Contact information
Practice address
1138 NIKKI VIEW DR, BRANDON, FL 33511-4868
(813) 393-1500
(813) 393-1501
Mailing address
PO BOX 891293, TAMPA, FL 33689-1100
(813) 393-1500
(813) 393-1501
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ACN415
FL
208000000X
Pediatrics Physician
94636
FL
Other
Enumeration date
08/25/2015
Last updated
02/22/2016
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