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NPI Code Detail

MEDICARE: PHYSICIAN UNLIMITED LLC

MEDICARE: PHYSICIAN UNLIMITED LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist PhysicianME87753FL

General Provider Information

NPI Number : 1366603870
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHYSICIAN UNLIMITED LLC
Provider Business Mailing Address
First Line : 5028 MYRTLE BEACH DR
Second Line :
City : SEBRING
State : FL
Zip : 33872-1766
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5028 MYRTLE BEACH DR
Second Line :
City : SEBRING
State : FL
Zip : 33872-1766
Country : US
Telephone Number : 863-202-5210
Fax Number :
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : RONALD FRONDA
Credential : MD
Telephone Number : 863-202-5210
Provider Enumeration Date : 06/18/2008
Last Update Date : 12/01/2008

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Directions to “PHYSICIAN UNLIMITED LLC ” Practice Location

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