MDY PRIMARY CARE MEDICINE P A NPI 1497974133

NPI Information

MDY PRIMARY CARE MEDICINE P A is a specialist in Davenport, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MDY PRIMARY CARE MEDICINE P A NPI is 1497974133. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

102 PARK PLACE BLVD
DAVENPORT, FL
ZIP 33837-857
Phone: (863) 422-0032
Fax: (863) 422-3275

The provider's authorized official is Margaret R Yee .
The authorized official title is Owner and has the following contact phone number (863) 422-0032.

The CLIA number assigned to this NPI record is 10D0985674 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 1/3/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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