| Doctor's Associates Of Orlando , Llc | |
|
670 N Orlando Ave Ste 1012 Maitland FL 32751-4465 | |
| (407) 790-7870 | |
| (407) 790-7872 |
| Full Name | Doctor's Associates Of Orlando , Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 670 N Orlando Ave Ste 1012, Maitland, Florida |
| Authorized Official Name and Position | Prudent Marcelin (PRESIDENT) |
| Authorized Official Contact | 9545578701 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctor's Associates Of Orlando , Llc 670 N Orlando Ave Ste 1012 Maitland FL 32751-4465 Ph: (407) 790-7870 | Doctor's Associates Of Orlando , Llc 670 N Orlando Ave Ste 1012 Maitland FL 32751-4465 Ph: (407) 790-7870 |
| NPI Number | 1093012049 |
|---|---|
| Provider Enumeration Date | 02/26/2011 |
| Last Update Date | 07/20/2011 |
| Medicare PECOS PAC ID | 5799963955 |
|---|---|
| Medicare Enrollment ID | O20110617000453 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093012049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L11000021999 (Florida) | Primary |
| Provider Name | Prudent Marcelin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013249549 PECOS PAC ID: 8921130956 Enrollment ID: I20100709000469 |
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