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Organization
HOME PHYSICIANS 2011, PC
Active
Organization
HOME PHYSICIANS 2011, PC
Active
Other names
Florida
Organization subpart
No
Provider details
NPI number
Authorized official
MAYANK SHAH (MEDICAL SENIOR DIRECTOR)
(312) 262-2739
Entity
Organization
Contact information
Practice address
6272 LEE VISTA BLVD, ORLANDO, FL 32822-5148
(773) 292-4800
(312) 564-4059
Mailing address
730 COOL SPRINGS BLVD STE 500, FRANKLIN, TN 37067-7331
(773) 292-4800
(312) 564-4059
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
08/20/2015
Last updated
02/02/2022
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