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Medical Pavilion Clinc
Preferred Provider Organization in Port Charlotte, Florida
NPI 1063671683

Medical Pavilion Clinc is a Preferred Provider Organization based in Port Charlotte, FL. Medical Pavilion Clinc practices in Port Charlotte, FL. The NPI Number for Medical Pavilion Clinc is 1063671683 and holds a License No. ME0044391 (Florida).

The current practice location address for Medical Pavilion Clinc is 2525 Harbor Blvd, Port Charlotte, FL and can be reached out via phone at 941-629-9190 and via fax at 941-625-2751.

Location: 2525 Harbor Blvd, Port Charlotte, FL, 33952-5317
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063671683
Provider Name
Medical Pavilion Clinc
Credential
Provider Entity Type
Organization
Address
2525 Harbor Blvd, Port Charlotte, FL, 33952-5317
Phone Number
941-629-9190
Fax Number
941-625-2751
Provider Enumeration Date
06/09/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0608916500 05 FL
institution
Provider Business Practice Location Address Details
Address
2525 Harbor Blvd
City
Port Charlotte
State
Florida
Zip
33952-5317
Phone Number
941-629-9190
Fax Number
941-625-2751
person
Provider Business Mailing Address Details
Address
2525 Harbor Blvd
City
Port Charlotte
State
Florida
Zip
33952-5317
Phone Number
941-629-9190
Fax Number
941-625-2751
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
ME0044391 (Florida)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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