Mount Dora Medical Institute INC LLC
NPI #1912691593 in Mount Dora, Florida
Provider Information
- NPI Number
- 1912691593
- Entity Type
- Organization
- Organization Name
- Mount Dora Medical Institute INC LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jun 6, 2023
- Last Updated
- Aug 22, 2023
Practice Location
- Address
- 1898 N DONNELLY ST
- City
- Mount Dora
- State
- Florida
- ZIP Code
- 32757-2820
- Phone
- (352) 720-3149
Authorized Official
- Name
- CAITLYN PAIGE WHITEHEAD
- Title
- ADMINISTRATOR
- Phone
- (352) 445-0778
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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