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2910 Maguire Rd Suite 1009, Ocoee, FL 34761-4742 | |
(407) 877-8707 | |
(407) 877-7464 |
Full Name | |
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Type | Facility |
Speciality | Family Medicine |
Location | 2910 Maguire Rd Suite 1009, Ocoee, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396070041 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Provider Name | Elyse Saltalamachia |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1952520678 PECOS PAC ID: 7315979218 Enrollment ID: I20060413000100 |
Provider Name | Brooks Andrew Saunders |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1033577747 PECOS PAC ID: 4183921372 Enrollment ID: I20160404000848 |
Provider Name | Gisselle Van Etten |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235809476 PECOS PAC ID: 4284007279 Enrollment ID: I20230222000205 |
Mailing Address | Practice Location Address |
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2910 Maguire Rd Suite 1009, Ocoee, FL 34761-4742 Ph: (407) 877-8707 | 2910 Maguire Rd Suite 1009, Ocoee, FL 34761-4742 Ph: (407) 877-8707 |