Organization Name: | U.S. MEDICAL GROUP, INC. |
NPI Number: | 1891034005 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THOMAS F WINTERS (C.E.O) |
Mailing Address: | 7765 S County Road 231 Lake Butler |
State: | FL US |
Postal Code: | 320545721 |
Phone Number: | 3864962833 |
Fax Number: | 3864962838 |
NPI Enumeration Date: | 02/07/2013 |
NPI Last Update Date: | 02/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | 149604181 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |