Organization
FLORIDA INTERNAL MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLEN F DAVIS MD (PRESIDENT)
(407) 333-2503
Entity
Organization
Contact information
Practice address
4106 W LAKE MARY BLVD, SUITE 301, LAKE MARY, FL 32746-3315
(407) 333-2503
(407) 333-0962
Mailing address
4106 W LAKE MARY BLVD, SUITE 301, LAKE MARY, FL 32746-3315
(407) 333-2503
(407) 333-0962
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/02/2006
Last updated
08/23/2007
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