Federal Bureau of Prisons
Federal Bureau of Prisons is a Family Medicine Physician in Clermont, Florida. Licensed in New York. Registered with an NPI since 2015.
- Licensed in
- NY
- In the registry since
- 2015
Practice location Address checks out
2801 Falcon RdgClermont, FL 34711-5892
Phone: (352) 243-8998
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 133531-1 (NY) |
|---|
Record details
| NPI number | 1881065662 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Department of Justice |
| Authorized official | Hector Lopez — Clinical Director · (352) 689-7332 |
| NPI enumerated | October 19, 2015 |
| Last updated in NPPES | October 19, 2015 |
| Mailing address | 2801 Falcon Rdg, Clermont, FL 34711-5892 |
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Dr. Myron Elliot Fuller, MD
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-
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William Jordan Gottschalk, DO
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