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Organization
INTERNAL MEDICINE MD LLC
Active
Organization
INTERNAL MEDICINE MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN HANNA MD (MANAGER)
(727) 267-6490
Entity
Organization
Contact information
Practice address
14153 YOSEMITE DR STE 104, HUDSON, FL 34667-8065
(727) 267-6490
Mailing address
10642 FIREBRICK CT, TRINITY, FL 34655-5030
(727) 267-6490
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/08/2022
Last updated
09/14/2022
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