Organization
MID-FLORIDA CRITICAL CARE PHYSICIAN SERVICES L L C
Active
Parent organization
MID-FLORIDA PHYSICIAN SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MID-FLORIDA PHYSICIAN SERVICES, LLC
Authorized official
DAVE MACDOUGALL (CFO)
(863) 293-1121
Entity
Organization
Contact information
Practice address
200 AVENUE F NE, WINTER HAVEN, FL 33881-4131
(863) 293-1121
(863) 297-1867
Mailing address
134 ARIANA AVE, AUBURNDALE, FL 33823-3319
(863) 293-1121
(863) 968-0653
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
06/24/2008
Last updated
12/10/2008
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