FOUR CORNERS INTERNAL MEDICINE, LLC

DAVENPORT, FL
NPI1346295466
Entity TypeOrganization
Authorized ContactSRINATH REDDY KOSANAM
Owner
863-424-8900
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
(Licence: FL  ME78339)
Enumeration Date2006-05-24
Last Update Date2010-10-20
Business Address
FOUR CORNERS INTERNAL MEDICINE, LLC
106 POLO PARK EAST BLVD
DAVENPORT, FL 33897-9407
Phone number: 863-424-8900
Mailing Address
FOUR CORNERS INTERNAL MEDICINE, LLC
10603 EMERALD CHASE DR
ORLANDO, FL 32836-5855
Phone number: 407-217-5353
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