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1942245550
NORTHSIDE FAMILY PRACTICE, INC.
SANFORD, FL
NPI
1942245550
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Entity Type
Organization
Authorized Contact
SUREE VYAS
Administrator
407-830-1975
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2006-06-18
Last Update Date
2010-10-20
Business Address
NORTHSIDE FAMILY PRACTICE, INC.
1718 LEXINGTON GREEN LN
SANFORD, FL 32771-1018
Phone number: 407-268-9661
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Mailing Address
NORTHSIDE FAMILY PRACTICE, INC.
320 W SABAL PALM PL SUITE 300
LONGWOOD, FL 32779-3639
Phone number: 407-260-1137
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