Organization
OMNI FAMILY MEDICINE, LLC
Active
Other names
Jerry M Alstott MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY M ALSTOTT M.D. (OWNER)
(407) 908-0064
Entity
Organization
Contact information
Practice address
8030 SAINT JAMES WAY, MOUNT DORA, FL 32757-9134
(407) 908-0064
(352) 383-9319
Mailing address
8030 SAINT JAMES WAY, MOUNT DORA, FL 32757-9134
(407) 908-0064
(352) 383-9319
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
ME0037307
FL
Other
Enumeration date
02/22/2012
Last updated
05/10/2016
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