Organization
CENTRAL FLORIDA PHYSICIAN NETWORK LLC
Active
Parent organization
CENTRAL FLORIDA PHYSICIAN NETWORK LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL FLORIDA PHYSICIAN NETWORK LLC
Authorized official
WILLIAM TEDRICK JOHNSON (VICE PRESIDENT)
(615) 372-3375
Entity
Organization
Contact information
Practice address
8400 RED BUG LAKE RD STE 1040, OVIEDO, FL 32765-6835
(407) 890-3020
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
(615) 372-5426
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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