Organization
FAMILY MEDICAL SPECIALISTS OF FLORIDA PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL PAUL GIMNESS MD (MEDICAL DIRECTOR)
(813) 567-5679
Entity
Organization
Contact information
Practice address
1703 THONOTOSASSA RD, SUITE A, PLANT CITY, FL 33563-4202
(813) 567-5679
(813) 567-5686
Mailing address
1703 THONOTOSASSA RD, SUITE A, PLANT CITY, FL 33563-4202
(813) 567-5679
(813) 567-5686
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME93084
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274338800
—
FL
Enumeration date
03/11/2008
Last updated
05/12/2023
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