Organization
FAMILY PRACTICE OF FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEEPA SUBRAMANIAN M.D (MANAGER)
(239) 728-8637
Entity
Organization
Contact information
Practice address
1812 US HIGHWAY 19, HOLIDAY, FL 34691-5535
(727) 942-3355
Mailing address
1812 US HIGHWAY 19, HOLIDAY, FL 34691-5535
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
FL
Other
Enumeration date
10/05/2015
Last updated
04/15/2016
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