FOUR CORNERS INTERNAL MEDICINE, LLC

NPI # 

Practice Address:

106 Polo Park East Blvd

Davenport, FL, 33897-9407

Practice Phone:

863-424-8900

Practice Fax:

863-424-8823

License Number:

ME78339

License State:

FL

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Code:

261Q00000X

Updated by NPPES on 10/20/2010. You can view the original data set for NPI # 1346295466 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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