Organization
THE BILTMORE GROUP LLC
Active
Other names
Physicians Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN THADDEUS LEGOWIK M.D. (OWNER / MEDICAL DIRECTOR)
(407) 518-1041
Entity
Organization
Contact information
Practice address
445 W OAK ST, KISSIMMEE, FL 34741-6627
(407) 518-1041
(407) 518-1042
Mailing address
445 W OAK ST, KISSIMMEE, FL 34741-6627
(407) 518-1041
(407) 518-1042
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME25156
FL
Other
Enumeration date
04/22/2010
Last updated
04/28/2010
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