Organization
EMC 360, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM FREDERICK VON BARGEN JR. DO (PRESIDENT)
(407) 450-6991
Entity
Organization
Contact information
Practice address
1008 JULIETTE BLVD, MOUNT DORA, FL 32757-6500
(407) 450-6991
Mailing address
1008 JULIETTE BLVD, MOUNT DORA, FL 32757-6500
(407) 450-6991
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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