| Modo Bio, LLC | |
|
11225 Willow Gardens Dr Windermere FL 34786-6020 | |
| (480) 681-0406 | |
| Not Available |
| Full Name | Modo Bio, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 11225 Willow Gardens Dr, Windermere, Florida |
| Authorized Official Name and Position | Gary Visser (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4806810406 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modo Bio, LLC 14275 N 87th St Ste 115 Scottsdale AZ 85260-3696 Ph: (480) 681-0406 | Modo Bio, LLC 11225 Willow Gardens Dr Windermere FL 34786-6020 Ph: (480) 681-0406 |
| NPI Number | 1609450089 |
|---|---|
| Provider Enumeration Date | 05/11/2021 |
| Last Update Date | 05/11/2021 |
| Certification Date | 05/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609450089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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