Organization
MID-FLORIDA INTERVENTIONAL CARDIOLOGY PHYSICIAN SERVICES LLC
Active
Parent organization
MID- FLORIDA PHYSICIAN SERVICES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MID- FLORIDA PHYSICIAN SERVICES LLC
Authorized official
MS. CARRIE L GRINER (DIRECTOR)
(863) 292-4359
Entity
Organization
Contact information
Practice address
200 AVENUE F NE, WINTER HAVEN, FL 33881-4131
(863) 292-4652
(863) 292-4653
Mailing address
134 ARIANA AVE, AUBURNDALE, FL 33823-3319
(863) 292-4359
(863) 968-0653
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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