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1053993014
PHYSICIAN MANAGEMENT SERVICES OF INDIANA II, LLC
SOUTH BEND, IN
NPI
1053993014
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Entity Type
Organization
Authorized Contact
BRETT KENEFICK
President
888-829-8550
Organization Subpart ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2021-04-28
Last Update Date
2021-04-28
Business Address
PHYSICIAN MANAGEMENT SERVICES OF INDIANA II, LLC
300 S SAINT LOUIS BLVD STE 204
SOUTH BEND, IN 46617-3044
Phone number: 888-829-8550
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Mailing Address
PHYSICIAN MANAGEMENT SERVICES OF INDIANA II, LLC
3113 LAWTON RD STE 250
ORLANDO, FL 32803-3517
Phone number:
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