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3505 Lake Lynda Dr Ste 200 Orlando FL 32817-8333 | |
| (407) 955-9710 | |
| (561) 464-5501 |
| Full Name | |
|---|---|
| Speciality | Preventive Medicine - Addiction Medicine |
| Location | 3505 Lake Lynda Dr Ste 200, Orlando, Florida |
| Authorized Official Name and Position | Mildred Cintron (CREDENTIALING) |
| Authorized Official Contact | 5612357683 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5030 Champion Blvd Ste G11-535 Boca Raton FL 33496-2473 Ph: (561) 235-7683 | 3505 Lake Lynda Dr Ste 200 Orlando FL 32817-8333 Ph: (407) 955-9710 |
| NPI Number | 1487301859 |
|---|---|
| Provider Enumeration Date | 03/07/2022 |
| Last Update Date | 12/22/2022 |
| Certification Date | 12/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487301859 | NPI | - | NPPES |
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