Organization
TOMMY L LOUISVILLE MD PA
Active
Parent organization
MEDVANTX, INC.
Other names
First Help Urgent Care Clinic Winter Haven
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (VP OF OPERATIONS)
(858) 964-1506
Entity
Organization
Contact information
Practice address
320 1ST ST S, WINTER HAVEN, FL 33880-3501
(863) 299-8485
Mailing address
5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA 92121-1705
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
ME37525
FL
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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