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1841969821
HEATHROW INTERNAL MEDICINE LLC
KISSIMMEE, FL
NPI
1841969821
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Entity Type
Organization
Authorized Contact
WILLIAM TEDRICK JOHNSON
Vice President
615-372-3375
Organization Subpart ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2021-09-13
Last Update Date
2021-09-13
Business Address
HEATHROW INTERNAL MEDICINE LLC
339 CYPRESS PKWY STE 210
KISSIMMEE, FL 34759-3315
Phone number: 407-502-2300
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Mailing Address
HEATHROW INTERNAL MEDICINE LLC
2000 HEALTH PARK DR
BRENTWOOD, TN 37027-4692
Phone number: 615-372-5426
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