3xs PLLC
Family Medicine in Brooksville, FL. Organization (NPI-2).
NPI number1093057986
StatusActive
Last updated in NPPESMar 19, 2013
Details
- NPI
- 1093057986
- Entity type
- Organization (NPI-2)
- Legal business name
- 3xs PLLC
- Organization subpart
- No
- Enumeration date
- Mar 19, 2013
- Last updated
- Mar 19, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- St Mina Primary Clinic (Doing Business As)
Practice location
17222 Hospital BlvdSuite 242
Brooksville, FL 34601-8925
Phone 352-796-5102 · Fax 352-796-2144
Mailing address
14391 Spring Hill DrSuite 444
Spring Hill, FL 34609-8199
Phone 352-796-5102 · Fax 352-796-2144
Authorized official
Lawandy Fawzy Bolis
Owner
3527965102
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