Lps Medical Group LLC

NPI #1003151903 in Kissimmee, Florida

Provider Information

NPI Number: 1003151903
Entity Type: Organization
Organization Name: Lps Medical Group LLC
Primary Specialty: Internal Medicine
Enumeration Date: Dec 3, 2012
Last Updated: Dec 6, 2013

Practice Location

Address: 1310 N MAIN ST STE 105
City: Kissimmee
State: Florida
ZIP Code: 34744-4244
Phone: (407) 483-7975

Authorized Official

Name: DR. CRUZ ADELMIS SANTOS, MD
Title: PHYSICIAN
Phone: (407) 476-4011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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