Ten Broeck Tennessee Physicians Group INC
NPI #1417559006 in Windermere, Florida
Provider Information
- NPI Number
- 1417559006
- Entity Type
- Organization
- Organization Name
- Ten Broeck Tennessee Physicians Group INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- TEN BROECK TENNESSEE PHYSICIANS GROUP INC
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Nov 10, 2020
- Last Updated
- Nov 10, 2020
Practice Location
- Address
- 603 MAIN ST
- City
- Windermere
- State
- Florida
- ZIP Code
- 34786-3548
- Phone
- (407) 876-2200
Authorized Official
- Name
- GLENDA F GUY
- Title
- DIRECTOR, COMPLIANCE
- Phone
- (931) 607-6513
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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