Clermont Internal and Cosmetic Medicine LLC

NPI #1437545472 in Clermont, Florida

Provider Information

NPI Number: 1437545472
Entity Type: Organization
Organization Name: Clermont Internal and Cosmetic Medicine LLC
Primary Specialty: Internal Medicine
Enumeration Date: Apr 7, 2015
Last Updated: Sep 25, 2015

Practice Location

Address: 290 CITRUS TOWER BLVD
Address 2: SUITE 102
City: Clermont
State: Florida
ZIP Code: 34711-2783
Phone: (352) 404-5174

Authorized Official

Name: EDRISS ESTIME, MD
Title: OWNER/AUTHORIZED REP
Phone: (352) 404-5174

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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