| Mho - Levy County School District Ehc | |
|
445 Ishie Ave Bronson FL 32621-6204 | |
| (352) 486-3420 | |
| Not Available |
| Full Name | Mho - Levy County School District Ehc |
|---|---|
| Speciality | Family Medicine |
| Location | 445 Ishie Ave, Bronson, Florida |
| Authorized Official Name and Position | Jason Tomlinson (VP OPERATIONS) |
| Authorized Official Contact | 4074706439 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mho - Levy County School District Ehc 2710 Rew Cir Ste 200 Ocoee FL 34761-2967 Ph: (407) 654-5414 | Mho - Levy County School District Ehc 445 Ishie Ave Bronson FL 32621-6204 Ph: (352) 486-3420 |
| NPI Number | 1841891777 |
|---|---|
| Provider Enumeration Date | 11/06/2020 |
| Last Update Date | 12/03/2020 |
| Certification Date | 12/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841891777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |