| Delaney Park Family Practice Llc | |
|
900 Delaney Ave Orlando FL 32806-1246 | |
| (407) 423-2571 | |
| (407) 423-0028 |
| Full Name | Delaney Park Family Practice Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 900 Delaney Ave, Orlando, Florida |
| Authorized Official Name and Position | Lawrence D Porter (OWNER) |
| Authorized Official Contact | 4074232571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Delaney Park Family Practice Llc 1495 S Volusia Ave Suite 102 Orange City FL 32763-7047 Ph: (386) 774-5211 | Delaney Park Family Practice Llc 900 Delaney Ave Orlando FL 32806-1246 Ph: (407) 423-2571 |
| NPI Number | 1629222146 |
|---|---|
| Provider Enumeration Date | 11/11/2008 |
| Last Update Date | 02/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629222146 | NPI | - | NPPES |
| 48590 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME12701 (Florida) | Primary |
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