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Organization

EDWIN K HOUSE, MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDWIN KEENAN HOUSE MD (OWNER)
(352) 796-9241
Entity
Organization

Contact information

Practice address
22163 CROOM RD, BROOKSVILLE, FL 34601-4852
(352) 796-9241
Mailing address
22163 CROOM RD, BROOKSVILLE, FL 34601-4852
(352) 796-9241

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
ME9793
FL

Other

Enumeration date
11/30/2015
Last updated
11/30/2015
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