Organization
FLORIDA EAST COAST MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DMITRY MISHELEVICH III (V-P/CFO)
(863) 763-6496
Entity
Organization
Contact information
Practice address
1107 N PARROTT AVE, OKEECHOBEE, FL 34972
(863) 763-5122
(863) 763-1965
Mailing address
1107 N PARROTT AVE, OKEECHOBEE, FL 34972-2128
(863) 763-6496
(863) 763-1965
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/01/2007
Last updated
07/09/2019
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