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1174588586
JACARANDA FAMILY MEDICINE P A
VENICE, FL
NPI
1174588586
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Entity Type
Organization
Authorized Contact
STEPHEN A. SOLLOTT
Owner
941-497-4303
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2006-04-19
Last Update Date
2008-09-29
Business Address
JACARANDA FAMILY MEDICINE P A
4315 TAMIAMI TRL S
VENICE, FL 34293-5117
Phone number: 941-497-4303
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Mailing Address
JACARANDA FAMILY MEDICINE P A
4315 TAMIAMI TRL S
VENICE, FL 34293-5117
Phone number: 941-497-4303
Copy
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