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Four Corners Internal Medicine, Llc
Clinic/Center in Davenport, Florida
NPI 1346295466

Four Corners Internal Medicine, Llc is a Clinic/Center based in Orlando, FL. Four Corners Internal Medicine, Llc practices in Davenport, FL. The NPI Number for Four Corners Internal Medicine, Llc is 1346295466 and holds a License No. ME78339 (Florida).

The current practice location address for Four Corners Internal Medicine, Llc is 106 Polo Park East Blvd, Davenport, FL and can be reached out via phone at 863-424-8900 and via fax at 863-424-8823.

Location: 106 Polo Park East Blvd, Davenport, FL, 32836-5855
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1346295466
Provider Name
Four Corners Internal Medicine, Llc
Credential
Provider Entity Type
Organization
Address
106 Polo Park East Blvd, Davenport, FL, 32836-5855
Phone Number
863-424-8900
Fax Number
863-424-8823
Provider Enumeration Date
05/24/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
106 Polo Park East Blvd
City
Davenport
State
Florida
Zip
33897-9407
Phone Number
863-424-8900
Fax Number
863-424-8823
person
Provider Business Mailing Address Details
Address
106 Polo Park East Blvd
City
Davenport
State
Florida
Zip
33897-9407
Phone Number
863-424-8900
Fax Number
863-424-8823
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
ME78339 (Florida)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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