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1164191169
HEATHROW INTERNAL MEDICINE LLC
SANFORD, FL
NPI
1164191169
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Entity Type
Organization
Authorized Contact
WILLIAM TEDRICK JOHNSON
Vice President
615-372-3375
Organization Subpart ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2021-09-13
Last Update Date
2021-09-13
Business Address
HEATHROW INTERNAL MEDICINE LLC
2209 S FRENCH AVE
SANFORD, FL 32771-4245
Phone number: 407-321-4230
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Mailing Address
HEATHROW INTERNAL MEDICINE LLC
2000 HEALTH PARK DR
BRENTWOOD, TN 37027-4692
Phone number: 615-372-5426
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