| |
316 S Central Ave, Apopka, FL 32703-4246 | |
(407) 886-2299 | |
(407) 886-1227 |
Full Name | |
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Type | Facility |
Speciality | Nurse Practitioner |
Location | 316 S Central Ave, Apopka, 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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1740336460 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | CH3217 (Florida) | Secondary |
363L00000X | Nurse Practitioner | ARNP2227962 (Florida) | Primary |
Provider Name | Mark E Boylan |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1811959877 PECOS PAC ID: 5991897720 Enrollment ID: I20070823000679 |
Mailing Address | Practice Location Address |
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316 S Central Ave, Apopka, FL 32703-4246 Ph: (407) 886-2299 | 316 S Central Ave, Apopka, FL 32703-4246 Ph: (407) 886-2299 |