Organization
FLORIDA PHYSICIANS MEDICAL GROUP
Active
Other names
DONALD GELDART MD
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF BOGAN (PRESIDENT)
(904) 962-2123
Entity
Organization
Contact information
Practice address
1006 W PLEASANT ST, AVON PARK, FL 33825-2966
(863) 382-9600
(904) 399-4421
Mailing address
1006 W PLEASANT ST, AVON PARK, FL 33825-2966
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
ME27412
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1015494
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/11/2006
Last updated
08/22/2020
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