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SOUTH LAKE PRIMARY CARE P A

Family Medicine Physician

NPI: 1164783528Organization

Specialties, Licenses & Credentials

Family Medicine

Code: 207Q00000X

ME0071348(FL)

Contact & Hours

Address
219 W MYERS BLVD, SUITE C
MASCOTTE, FL 34753

Quick Facts

NPI
1164783528
Entity Type
Organization
Medicare
Not confirmed
Specialties
1
Locations
1

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