Organization
GRAHAM FAMILY MEDICINE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL MATTHEW GRAHAM M.D. (PHYSICIAN/OWNER)
(407) 774-4911
Entity
Organization
Contact information
Practice address
679 DOUGLAS AVE, ALTAMONTE SPRINGS, FL 32714-2555
(407) 774-4911
(407) 862-4911
Mailing address
679 DOUGLAS AVE, ALTAMONTE SPRINGS, FL 32714-2555
(407) 774-4911
(407) 862-4911
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME46929
FL
Other
Enumeration date
07/10/2006
Last updated
08/22/2020
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