Organization
APOLLO MEDICAL GROUP LLC
Active
Organization
APOLLO MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN VAN SPRUNDEL (DIRECTOR OF ADMINISTRATION)
(941) 725-1198
Entity
Organization
Contact information
Practice address
1276 N PLAZA DR, ROCKPORT, IN 47635-9028
(812) 649-2500
(941) 358-9818
Mailing address
PO BOX 4606, SPRINGFIELD, IL 62708-4606
(941) 360-1566
(941) 358-9818
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
IN
367500000X
Certified Registered Nurse Anesthetist
—
IN
Other
Enumeration date
08/26/2013
Last updated
04/05/2023
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