Organization
CENTRAL FLORIDA CHRONIC CARE MANAGEMENT GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARRY NYANTEH (COO)
(386) 873-9382
Entity
Organization
Contact information
Practice address
615 N. CHARLES RICHARD BEALL BLVD, DEBARY, FL 32713
(386) 668-1410
Mailing address
615 N. CHARLES RICHARD BEALL BLVD, DEBARY, FL 32713
(386) 668-1410
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
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