Mid Florida Internal Medicine

NPI #1639291834 in Windermere, Florida

Provider Information

NPI Number: 1639291834
Entity Type: Organization
Organization Name: Mid Florida Internal Medicine
Primary Specialty: Hospitalist
Enumeration Date: Apr 6, 2007
Last Updated: Apr 5, 2013

Practice Location

Address: 11036 BRIDGE HOUSE DR
City: Windermere
State: Florida
ZIP Code: 34786-5404
Phone: (321) 229-5479

Authorized Official

Name: MRS. SANJAY PRAKASH MUTTREJA, MD
Title: PRESIDENT
Phone: (321) 229-5479

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X
Hospitalist	208M00000X	Primary

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