Florida Internal Medicine PA

NPI #1831136274 in Lake Mary, Florida

Provider Information

NPI Number: 1831136274
Entity Type: Organization
Organization Name: Florida Internal Medicine PA
Primary Specialty: Internal Medicine
Enumeration Date: Jun 2, 2006
Last Updated: Aug 23, 2007

Practice Location

Address: 4106 W LAKE MARY BLVD
Address 2: SUITE 301
City: Lake Mary
State: Florida
ZIP Code: 32746-3315
Phone: (407) 333-2503

Authorized Official

Name: DR. GLEN F DAVIS, MD
Title: PRESIDENT
Phone: (407) 333-2503

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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