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Organization

CENTRAL FLORIDA INTERNISTS, INC.

Active
Parent organization
MEDVANTX,INC.
Other names
Central Florida Internists- St. Cloud
Organization subpart
Yes

Provider details

NPI number
Legal business name
MEDVANTX,INC.
Authorized official
KENNY HEINE (VP OF OPERATIONS)
(858) 964-1506
Entity
Organization

Contact information

Practice address
3505 PROGRESS LN, SAINT CLOUD, FL 34769-6519
(407) 891-8044
Mailing address
5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA 92121-1705

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
ME88746
FL

Other

Enumeration date
11/15/2013
Last updated
11/15/2013
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