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Organization
RENAISSANCE MEDICAL CLINIC LLC
Active
Organization
RENAISSANCE MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL R ROSARIO M.D. (PRESIDENT)
(352) 237-8903
Entity
Organization
Contact information
Practice address
7625 SW 62ND CT, OCALA, FL 34476-8322
(352) 237-8903
(352) 237-8962
Mailing address
7625 SW 62ND CT, OCALA, FL 34476-8322
(352) 237-8903
(352) 237-8962
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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