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Organization
ANGELHEART LLC
Active
Organization
ANGELHEART LLC
Active
Parent organization
ANGELHEART LLC
Other names
ANGELHEART LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANGELHEART LLC
Authorized official
MR. JEFFREY S LYONS DO (MEDICAL DIRECTOR)
(941) 894-7429
Entity
Organization
Contact information
Practice address
3004 SEASONS BOULIVARD, SARASOTA, FL 34240
(941) 894-7429
Mailing address
3004 SEASONS BLVD, SARASOTA, FL 34240-8230
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS7077
FL
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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