Munroe Medical Provider Pllc

NPI #1588358857 in Lake Mary, Florida

Provider Information

NPI Number: 1588358857
Entity Type: Organization
Organization Name: Munroe Medical Provider Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Jun 8, 2023
Last Updated: Jun 8, 2023

Practice Location

Address: 1995 BRIDGEWATER DR
City: Lake Mary
State: Florida
ZIP Code: 32746
Phone: (386) 473-9607

Authorized Official

Name: BISHNU PRAKASH VERMA, MD
Title: PHYSICIAN
Phone: (386) 473-9607

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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