Organization
MID-FLORIDA PHYSICIAN SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE MACDOUGALL (CFO)
(863) 297-1899
Entity
Organization
Contact information
Practice address
200 AVENUE F NE, WINTER HAVEN, FL 33881-4131
(863) 297-1899
(863) 297-1867
Mailing address
200 AVENUE F NE, WINTER HAVEN, FL 33881-4131
(863) 297-1899
(863) 297-1867
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
FL
207V00000X
Obstetrics & Gynecology Physician
—
—
Other
Enumeration date
05/01/2008
Last updated
07/11/2008
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