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1508587205
INNOVACARE TEXAS PHYSICIANS, LLC
ORLANDO, FL
NPI
1508587205
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Entity Type
Organization
Authorized Contact
LESLIE PRIZANT
Delegated Official
201-575-6087
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2022-09-09
Last Update Date
2022-09-09
Business Address
INNOVACARE TEXAS PHYSICIANS, LLC
6900 TAVISTOCK LAKES BLVD STE 300
ORLANDO, FL 32827-7592
Phone number: 321-332-6947
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Mailing Address
INNOVACARE TEXAS PHYSICIANS, LLC
6900 TAVISTOCK LAKES BLVD STE 300
ORLANDO, FL 32827-7592
Phone number: 321-332-6947
Copy
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