Organization
FLORIDA MEDICAL SPECIALISTS, LLC
Active
Other names
Ridge Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
INITA BEDI (SENIOR VP OF CLINICAL OPERATIONS)
(941) 202-5338
Entity
Organization
Contact information
Practice address
405 S 11TH ST, LAKE WALES, FL 33853-4202
(863) 679-8000
(863) 679-2694
Mailing address
PO BOX 25487, SARASOTA, FL 34277-2487
(941) 259-0926
(855) 253-4836
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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