Organization
MID-FLORIDA UROLOGY PHYSICIAN SERVICES LLC
Active
Parent organization
MID FLORIDA PHYSICIAN SERVICES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MID FLORIDA PHYSICIAN SERVICES LLC
Authorized official
DAVE MACDOUGALL (CFO)
(863) 297-1899
Entity
Organization
Contact information
Practice address
200 AVENUE F NE, WINTER HAVEN, FL 33881-4131
(863) 297-1899
(863) 297-1867
Mailing address
200 AVENUE F NE, WINTER HAVEN, FL 33881-4131
(863) 297-1899
(863) 297-1867
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
05/01/2008
Last updated
07/11/2008
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