BURNT STORE FAMILY MEDICINE P L

PUNTA GORDA, FL
NPI1164739421
Entity TypeOrganization
Authorized ContactGORDON WANG
Owner
941-505-0974
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  ME0072508)
Enumeration Date2010-09-08
Last Update Date2011-06-23
Business Address
BURNT STORE FAMILY MEDICINE P L
100 MADRID BLVD SUITE 513
PUNTA GORDA, FL 33950-7968
Phone number: 941-505-0974
Mailing Address
BURNT STORE FAMILY MEDICINE P L
100 MADRID BLVD SUITE 513
PUNTA GORDA, FL 33950-7968
Phone number: 941-505-0974
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