Organization
CENTRAL FLORIDA PHYSICIAN NETWORK LLC
Active
Parent organization
CENTRAL FLORIDA PHYSICIAN NETWORK LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL FLORIDA PHYSICIAN NETWORK LLC
Authorized official
WILLIAM TEDRICK JOHNSON (VICE PRESIDENT)
(615) 372-3375
Entity
Organization
Contact information
Practice address
1718 LEXINGTON GREEN LN STE B, SANFORD, FL 32771-1018
(407) 302-5520
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
(615) 372-5426
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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