| Heathrow Internal Medicine LLC | |
|
2209 S French Ave Sanford FL 32771-4245 | |
| (407) 321-4230 | |
| Not Available |
| Full Name | Heathrow Internal Medicine LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 2209 S French Ave, Sanford, Florida |
| Authorized Official Name and Position | William Tedrick Johnson (VICE PRESIDENT) |
| Authorized Official Contact | 6153723375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heathrow Internal Medicine LLC 2000 Health Park Dr Brentwood TN 37027-4692 Ph: (615) 372-5426 | Heathrow Internal Medicine LLC 2209 S French Ave Sanford FL 32771-4245 Ph: (407) 321-4230 |
| NPI Number | 1164191169 |
|---|---|
| Provider Enumeration Date | 09/13/2021 |
| Last Update Date | 09/13/2021 |
| Certification Date | 09/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164191169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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