Organization
BARTOW MEDICAL CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICIA S SAUNDERS MD (OWNER)
(863) 533-4104
Entity
Organization
Contact information
Practice address
2020 FLAMINGO DR, BARTOW, FL 33830-4262
(863) 533-4104
(863) 533-4549
Mailing address
2020 FLAMINGO DR, BARTOW, FL 33830-4262
(863) 533-4104
(863) 533-4549
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100557
ARMED
—
01
—
110023571
RAILROAD
—
01
—
205961
AMERI GROUP
FL
05
—
377295100
—
FL
Enumeration date
06/09/2005
Last updated
07/07/2010
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