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Organization

FLORIDA PHYSICIANS MEDICAL GROUP

Active
Other names
Highlands Surgical Associates
Organization subpart
No

Provider details

NPI number
Authorized official
BRYAN STILTZ (PRESIDENT)
(407) 200-2700
Entity
Organization

Contact information

Practice address
4409 SUN N LAKE BLVD, SUITE C, SEBRING, FL 33872-2170
(863) 385-1900
(863) 385-9229
Mailing address
4409 SUN N LAKE BLVD, SUITE C, SEBRING, FL 33872-2170
(863) 385-1900
(863) 385-9229

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DA2516
RAILROAD MEDICARE
Enumeration date
06/03/2006
Last updated
08/07/2007
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