Organization · Type 2 NPI
New Directions of Central Florida, LLC
Addiction Medicine (Family Medicine) Physician · Summerfield, FL
NPI number
1104059005
Active
Practice location
9425 SE Highway 42
Summerfield, FL 34491-6405
Fax (352) 347-6876
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | OS10552 (FL) |
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | OS10552 (FL) |
| General Practice Physician | 208D00000X | OS10552 (FL) |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
3 other providers at this address
About NPI 1104059005
New Directions of Central Florida, LLC's National Provider Identifier is 1104059005, issued on Aug 26, 2009. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Summerfield, FL. The record was last updated on Aug 26, 2009.