Organization
SLV MED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA LYNN THORSTENSON (CONTACT)
(352) 348-5611
Entity
Organization
Contact information
Practice address
316 SE 12TH ST., BUILDING 200, OCALA, FL 34471
(352) 401-1919
Mailing address
316 SE 12TH ST., BUILDING 200, OCALA, FL 34471
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/06/2010
Last updated
05/06/2010
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