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1013473495
OLYMPIA MEDICAL GROUP, LLC
DAVENPORT, FL
NPI
1013473495
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Entity Type
Organization
Authorized Contact
BALA KODE
Managing Partner
863-547-9200
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2019-02-11
Last Update Date
2023-12-22
Business Address
OLYMPIA MEDICAL GROUP, LLC
2306 NORTH BLVD W STE C
DAVENPORT, FL 33837-8976
Phone number: 863-547-9200
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Mailing Address
OLYMPIA MEDICAL GROUP, LLC
2306 NORTH BLVD W STE C
DAVENPORT, FL 33837-8976
Phone number:
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