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Organization
MOUNT DORA MEDICAL INSTITUTE INC LLC
Active
Organization
MOUNT DORA MEDICAL INSTITUTE INC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAITLYN PAIGE WHITEHEAD (ADMINISTRATOR)
(352) 445-0778
Entity
Organization
Contact information
Practice address
1898 N DONNELLY ST, MOUNT DORA, FL 32757-2820
(352) 720-3149
(352) 800-4054
Mailing address
1898 N DONNELLY ST, MOUNT DORA, FL 32757-2820
(352) 720-3149
(352) 800-4054
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
08/22/2023
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