Organization
FLORIDA PHYSICIANS MEDICAL GROUP INC
Active
Other names
Family Practice Center of Avon Park
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN STILTZ (PRESIDENT)
(407) 200-2700
Entity
Organization
Contact information
Practice address
1006 W PLEASANT ST, AVON PARK, FL 33825-2966
(863) 453-3121
(863) 452-2823
Mailing address
PO BOX 538600, ORLANDO, FL 32853-8600
(407) 200-2700
(407) 200-4904
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
06/29/2006
Last updated
01/07/2008
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