NIBHA MEDIRATTA MD PL
Osteopathic Medicine at Hospital View Way, Clermont, FL

License number
Florida ME95217
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. NIBHA MEDIRATTA MD
Title: OWNER
Phone: (352) 243-3443
Address
Address 2
1950 Hospital View Way, Clermont, FL 34711
PO Box 991, Gotha, FL 34734
National Provider ID: 1629387980
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NIBHA MEDIRATTA MD, PL

Clermont, FL

Industry:
Medical Doctor's Office
Registration:
Sep 23, 2010
Addresses:
1950 Hospital Vw Way, Clermont, FL 34711 (Physical)
265 Citrus Tower Blvd, Clermont, FL 34711
State ID:
L10000099768
Business type:
Florida Limited Liability Company
Managing Member:
Nibha Mediratta (Managing Member), 1950 Hospital Vw Way, Clermont, FL 34711 (Physical)
Agent:
Mediratta, Nibha,1950 Hospital Vw Way, Clermont, FL 34711 (Physical)
EIN:
27-3534091

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