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136 E Colonial Dr, Orlando, FL 32801-1234 | |
(407) 649-3899 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Family Medicine |
Location | 136 E Colonial Dr, Orlando, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1073048336 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | CH10082 (Florida) | Secondary |
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Drew Courtney Larkins |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1700019023 PECOS PAC ID: 9032484951 Enrollment ID: I20171003006089 |
Provider Name | Summer P Louis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508225228 PECOS PAC ID: 0840665469 Enrollment ID: I20230413001736 |
Mailing Address | Practice Location Address |
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136 E Colonial Dr, Orlando, FL 32801-1234 Ph: (407) 649-3899 | 136 E Colonial Dr, Orlando, FL 32801-1234 Ph: (407) 649-3899 |