Fernhill Family Medicine LLC
NPI #1871641209 in Mount Dora, Florida
Provider Information
- NPI Number
- 1871641209
- Entity Type
- Organization
- Organization Name
- Fernhill Family Medicine LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jan 8, 2007
- Last Updated
- Oct 26, 2010
Practice Location
- Address
- 4601 N HIGHWAY 19A
- City
- Mount Dora
- State
- Florida
- ZIP Code
- 32757-2039
- Phone
- (352) 589-9090
Authorized Official
- Name
- DR. KUMARAN KONDATH MOHAN, MD
- Title
- DIRECT OWNER
- Phone
- (352) 589-9090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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