| Magic Medical Specialties Corp | |
|
9421 S Orange Blossom Trl # 19 Orlando FL 32837-8320 | |
| (407) 601-2527 | |
| (407) 674-7640 |
| Full Name | Magic Medical Specialties Corp |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 9421 S Orange Blossom Trl # 19, Orlando, Florida |
| Authorized Official Name and Position | Larry De Jesus (OWNER) |
| Authorized Official Contact | 7865181911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magic Medical Specialties Corp 9421 S Orange Blossom Trl # 19 Orlando FL 32837-8320 Ph: (407) 601-2527 | Magic Medical Specialties Corp 9421 S Orange Blossom Trl # 19 Orlando FL 32837-8320 Ph: (407) 601-2527 |
| NPI Number | 1588282776 |
|---|---|
| Provider Enumeration Date | 07/14/2020 |
| Last Update Date | 07/14/2020 |
| Certification Date | 07/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588282776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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