Chuluota Clinic, LLC

NPI #1508119637 in Chuluota, Florida

Provider Information

NPI Number
1508119637
Entity Type
Organization
Organization Name
Chuluota Clinic, LLC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Oct 26, 2012
Last Updated
Oct 26, 2012

Practice Location

Address
107 8TH ST W
State
Florida
ZIP Code
32766-8924
Phone
(407) 542-7961

Authorized Official

Name
MICHAEL GEORGE PRUNER, ARNP
Title
OWNER
Phone
(407) 542-7961

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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