Organization
DRHOMEVISITCOMLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN NIMBARGI MD (OWNER)
(407) 782-3702
Entity
Organization
Contact information
Practice address
745 ORIENTA AVE, STE 1191, ALTAMONTE SPRINGS, FL 32701-5619
(407) 782-3702
Mailing address
PO BOX 150038, ALTAMONTE SPRINGS, FL 32715-0038
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME85807
FL
Other
Enumeration date
11/27/2011
Last updated
05/05/2014
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