| Express Care Clinic Group | |
|
2650 W State Road 434 Longwood FL 32779-4815 | |
| (407) 475-3366 | |
| (407) 475-3367 |
| Full Name | Express Care Clinic Group |
|---|---|
| Speciality | Family Medicine |
| Location | 2650 W State Road 434, Longwood, Florida |
| Authorized Official Name and Position | Oleksandr V Onushko (PRESIDENT) |
| Authorized Official Contact | 4074753366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Express Care Clinic Group 2650 W State Road 434 Longwood FL 32779-4815 Ph: (407) 475-3366 | Express Care Clinic Group 2650 W State Road 434 Longwood FL 32779-4815 Ph: (407) 475-3366 |
| NPI Number | 1083016414 |
|---|---|
| Provider Enumeration Date | 09/17/2014 |
| Last Update Date | 11/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083016414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Susan Toth D.o.p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 W State Road 434, Suite 308, Longwood, FL 32750 Phone: 407-831-2000 Fax: 407-831-4761 | |
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