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1790398246
EMC 360, LLC
MOUNT DORA, FL
NPI
1790398246
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Entity Type
Organization
Authorized Contact
WILLIAM FREDERICK VON BARGEN
President
407-450-6991
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2020-08-25
Last Update Date
2020-08-25
Business Address
EMC 360, LLC
1008 JULIETTE BLVD
MOUNT DORA, FL 32757-6500
Phone number: 407-450-6991
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Mailing Address
EMC 360, LLC
1008 JULIETTE BLVD
MOUNT DORA, FL 32757-6500
Phone number: 407-450-6991
Copy
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