TRICOUNTY SPECIALISTS LLC

LADY LAKE, FL
NPI1528308095
Entity TypeOrganization
Authorized ContactWILLIAM S MAXFIELD
Medical Director
352-240-1146
Organization Subpart ?No
Primary Taxonomy204D00000X Neuromusculoskeletal Medicine & OMM
(Licence: FL  me15266)
Additional Taxonomies204D00000X Neuromusculoskeletal Medicine & OMM
(Licence: FL  ME52212)
Enumeration Date2013-02-21
Last Update Date2013-04-26
Business Address
TRICOUNTY SPECIALISTS LLC
510 CR 466 SUITE 207
LADY LAKE, FL 32159
Phone number: 352-240-1146
Mailing Address
TRICOUNTY SPECIALISTS LLC
510 CR 466 SUITE 207
LADY LAKE, FL 32159
Phone number: 352-240-1146