Organization
THE IRON VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUKE ELDER (OWNER)
(712) 541-1447
Entity
Organization
Contact information
Practice address
4059 THOMAS ST STE A02, OXFORD, FL 34484-3452
(712) 541-1447
Mailing address
4059 THOMAS ST STE A02, OXFORD, FL 34484-3452
(712) 541-1447
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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