| F.S.T. LLC | |
|
212 W Bay Ave Longwood FL 32750-4126 | |
| (407) 265-1888 | |
| Not Available |
| Full Name | F.S.T. LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 212 W Bay Ave, Longwood, Florida |
| Authorized Official Name and Position | Tammy Bennett (REGISTERED AGENT/MANAGER) |
| Authorized Official Contact | 4072651888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| F.S.T. LLC 212 W Bay Ave Longwood FL 32750-4126 Ph: (407) 265-1888 | F.S.T. LLC 212 W Bay Ave Longwood FL 32750-4126 Ph: (407) 265-1888 |
| NPI Number | 1649602517 |
|---|---|
| Provider Enumeration Date | 08/02/2013 |
| Last Update Date | 08/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649602517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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