Outcome Based Delivery Systems Acquisition Company, LLC

NPI #1205062163 in Clermont, Florida

Provider Information

NPI Number: 1205062163
Entity Type: Organization
Organization Name: Outcome Based Delivery Systems Acquisition Company, LLC
Primary Specialty: Family Medicine
Enumeration Date: Jun 5, 2009
Last Updated: Nov 23, 2009

Practice Location

Address: 1120 CITRUS TOWER BLVD
Address 2: SUITE # 300
City: Clermont
State: Florida
ZIP Code: 34711-1909
Phone: (352) 243-0206

Authorized Official

Name: PATEESHA BRUTEN
Title: BILLING MANGER
Phone: (954) 656-8855

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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