| Minuteclinic Diagnostic Of Florida Llc | |
|
12280 Lake Underhill Rd Orlando FL 32825-5009 | |
| (401) 866-2727 | |
| Not Available |
| Full Name | Minuteclinic Diagnostic Of Florida Llc |
|---|---|
| Speciality | Nurse Practitioner - Family |
| Location | 12280 Lake Underhill Rd, Orlando, Florida |
| Authorized Official Name and Position | Deborah Pincince (ADMINISTRATOR) |
| Authorized Official Contact | 4017703813 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minuteclinic Diagnostic Of Florida Llc Po Box 772 Minuteclinic Credentialing-mc2295 Woonsocket RI 02895-0784 Ph: (866) 389-2727 | Minuteclinic Diagnostic Of Florida Llc 12280 Lake Underhill Rd Orlando FL 32825-5009 Ph: (401) 866-2727 |
| NPI Number | 1073780730 |
|---|---|
| Provider Enumeration Date | 05/13/2008 |
| Last Update Date | 12/08/2020 |
| Certification Date | 12/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073780730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
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