Internal Medicine MD LLC
Internal Medicine in Hudson, FL. Organization (NPI-2).
NPI number1982332011
StatusActive
Last updated in NPPESSep 14, 2022
Details
- NPI
- 1982332011
- Entity type
- Organization (NPI-2)
- Legal business name
- Internal Medicine MD LLC
- Organization subpart
- No
- Enumeration date
- Aug 8, 2022
- Certification date
- Sep 14, 2022
- Last updated
- Sep 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
14153 Yosemite Dr Ste 104Hudson, FL 34667-8065
Phone 727-267-6490
Mailing address
10642 Firebrick CtTrinity, FL 34655-5030
Phone 727-267-6490
Authorized official
John Hanna
Manager
7272676490
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