Organization
ANGELHEART LLC
Active
Parent organization
ANGELHEART LLC
Other names
ANGELHEART LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANGELHEART LLC
Authorized official
MR. JEFFREY S LYONS DO (MEDICAL DIRECTOR)
(941) 894-7429
Entity
Organization
Contact information
Practice address
3004 SEASONS BOULIVARD, SARASOTA, FL 34240
(941) 894-7429
Mailing address
3004 SEASONS BLVD, SARASOTA, FL 34240-8230
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS7077
FL
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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