Organization
PHYSICIAN BUSINESS ALLIANCE INC
Active
Other names
Physician Business Alliance DBA Sports Medicine Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID H LUCAS MD (TREASURER)
(352) 242-0404
Entity
Organization
Contact information
Practice address
2020 OAKLEY SEAVER DR STE 3, CLERMONT, FL 34711-1902
(352) 242-0404
Mailing address
2020 OAKLEY SEAVER DR STE 3, CLERMONT, FL 34711-1902
(352) 242-0404
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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