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Angelheart LLC

Family Medicine in Sarasota, FL. Organization (NPI-2).

NPI number1982984134
StatusActive
Last updated in NPPESAug 19, 2011

Details

NPI
1982984134
Entity type
Organization (NPI-2)
Legal business name
Angelheart LLC
Organization subpart
Yes
Enumeration date
Aug 19, 2011
Last updated
Aug 19, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineOS7077FLYes

Other names

  • Angelheart LLC (Doing Business As)

Practice location

3004 Seasons Boulivard
Sarasota, FL 34240

Phone 941-894-7429

Mailing address

3004 Seasons Blvd
Sarasota, FL 34240-8230

Authorized official

Jeffrey S Lyons
Medical Director
9418947429

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