Organization
ALINA COMMUNITY CENTER AT MOUNT DORA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRAVIL JOSEPH APRN (MGR)
(352) 602-7924
Entity
Organization
Contact information
Practice address
4601 N HIGHWAY 19A, MOUNT DORA, FL 32757-2039
(352) 602-7924
(352) 602-4952
Mailing address
4601 N HIGHWAY 19A, MOUNT DORA, FL 32757-2039
(352) 602-7924
(352) 602-4952
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/19/2019
Last updated
01/02/2025
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