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1669981858
DAVITA MEDICAL GROUP FLORIDA CIN
WINTER PARK, FL
NPI
1669981858
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Entity Type
Organization
Authorized Contact
LAUREN EDGINGTON
CFO
727-824-0780
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2017-09-20
Last Update Date
2017-09-20
Business Address
DAVITA MEDICAL GROUP FLORIDA CIN
2304 ALOMA AVE
WINTER PARK, FL 32792-3330
Phone number: 407-679-9222
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Mailing Address
DAVITA MEDICAL GROUP FLORIDA CIN
10051 5TH ST N STE 200
ST PETERSBURG, FL 33702-2211
Phone number:
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