Organization
TEN BROECK TENNESSEE PHYSICIANS GROUP INC
Active
Parent organization
TEN BROECK TENNESSEE PHYSICIANS GROUP INC
Other names
Ten Broeck Healthcare
Organization subpart
Yes
Provider details
NPI number
Legal business name
TEN BROECK TENNESSEE PHYSICIANS GROUP INC
Authorized official
GLENDA F GUY (DIRECTOR, COMPLIANCE)
(931) 607-6513
Entity
Organization
Contact information
Practice address
603 MAIN ST, WINDERMERE, FL 34786-3548
(407) 876-2200
(855) 420-5749
Mailing address
603 MAIN ST, WINDERMERE, FL 34786-3548
(407) 876-2200
(855) 420-5749
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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