Long Term Care Network

NPI #1477041135 in Lake Mary, Florida

Provider Information

NPI Number: 1477041135
Entity Type: Organization
Organization Name: Long Term Care Network
Primary Specialty: Internal Medicine
Enumeration Date: Apr 27, 2018
Last Updated: Apr 27, 2018

Practice Location

Address: 7025 COUNTY ROAD 46A STE 1071-134
City: Lake Mary
State: Florida
ZIP Code: 32746-4721
Phone: (407) 692-7999

Authorized Official

Name: NERLYN JESTINE
Title: MANAGER
Phone: (561) 460-2464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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