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2014 S Orange Ave Suite 200 Orlando FL 32806-3069 | |
| (407) 447-2273 | |
| (407) 218-4621 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 2014 S Orange Ave, Orlando, Florida |
| Authorized Official Name and Position | Daniel J Pavlik (PRESIDENT) |
| Authorized Official Contact | 4074234761 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2014 S. Orange Ave Suite 200 Orlando FL 32806-3069 Ph: (407) 447-2273 | 2014 S Orange Ave Suite 200 Orlando FL 32806-3069 Ph: (407) 447-2273 |
| NPI Number | 1992166284 |
|---|---|
| Provider Enumeration Date | 03/14/2016 |
| Last Update Date | 09/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992166284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS9066 (Florida) | Primary |
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