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Organization

CENTRAL HEALTH ASSOCIATES

Active
Other names
Central Primary Care
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FAWZI GEORGE MEHANNA M.D. (MD)
(863) 648-5300
Entity
Organization

Contact information

Practice address
4925 OLD RD 37, LAKELAND, FL 33813
(863) 648-5300
(863) 648-5377
Mailing address
P.O. BOX 6896, LAKELAND, FL 33807
(863) 648-5300
(863) 648-5377

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME75774
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
256420300
FL
Enumeration date
04/13/2015
Last updated
04/13/2015
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