Modo Bio, LLC

NPI #1609450089 in Windermere, Florida

Provider Information

NPI Number: 1609450089
Entity Type: Organization
Organization Name: Modo Bio, LLC
Primary Specialty: Family Medicine
Enumeration Date: May 11, 2021
Last Updated: May 11, 2021

Practice Location

Address: 11225 WILLOW GARDENS DR
City: Windermere
State: Florida
ZIP Code: 34786-6020
Phone: (480) 681-0406

Authorized Official

Name: GARY VISSER, MD
Title: MEDICAL DIRECTOR
Phone: (480) 681-0406

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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