| Exodus Medical LLC | |
|
1954 W State Road 426 Ste 1112 Oviedo FL 32765-8831 | |
| (407) 723-0090 | |
| Not Available |
| Full Name | Exodus Medical LLC |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1954 W State Road 426 Ste 1112, Oviedo, Florida |
| Authorized Official Name and Position | Robert Abraham (PRESIDENT) |
| Authorized Official Contact | 4077230090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Exodus Medical LLC 1954 W State Road 426 Ste 1112 Oviedo FL 32765-8831 | Exodus Medical LLC 1954 W State Road 426 Ste 1112 Oviedo FL 32765-8831 Ph: (407) 723-0090 |
| NPI Number | 1578148607 |
|---|---|
| Provider Enumeration Date | 03/10/2021 |
| Last Update Date | 03/10/2021 |
| Certification Date | 03/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578148607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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