Physicians Trust Mso, LLC

NPI #1467870311 in Maitland, Florida

Provider Information

NPI Number
1467870311
Entity Type
Organization
Organization Name
Physicians Trust Mso, LLC
Primary Specialty
Family Medicine
Enumeration Date
Mar 28, 2014
Last Updated
Mar 28, 2014

Practice Location

Address
1101 N LAKE DESTINY DR
Address 2
SUITE 300
State
Florida
ZIP Code
32751-7114
Phone
(407) 475-9213

Authorized Official

Name
MR. LARRY E. JONES
Title
CEO
Phone
(407) 475-9213

Specialties & Taxonomy Codes

Specialty
Family Medicine

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