Emmanuel Christian Health Center PA

NPI #1750499943 in Lady Lake, Florida

Provider Information

NPI Number
1750499943
Entity Type
Organization
Organization Name
Emmanuel Christian Health Center PA
Primary Specialty
Internal Medicine
Enumeration Date
Aug 28, 2006
Last Updated
Jan 27, 2011

Practice Location

Address
918 ROLLING ACRES RD
Address 2
SUITE 1
State
Florida
ZIP Code
32159-5027
Phone
(352) 259-1991

Authorized Official

Name
VIVIAN J WOODARD, M.D.
Title
OWNER OPERATOR
Phone
(352) 259-1991

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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