| Gfm Family Medicine | |
|
5575 S Semoran Blvd Suite 23 Orlando FL 32822-1747 | |
| (407) 275-0080 | |
| (407) 275-8775 |
| Full Name | Gfm Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 5575 S Semoran Blvd, Orlando, Florida |
| Authorized Official Name and Position | Edward Amendola (BILLING MANAGER) |
| Authorized Official Contact | 4072750080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gfm Family Medicine 5575 S Semoran Blvd Suite 23 Orlando FL 32822-1747 Ph: (407) 275-0080 | Gfm Family Medicine 5575 S Semoran Blvd Suite 23 Orlando FL 32822-1747 Ph: (407) 275-0080 |
| NPI Number | 1902094725 |
|---|---|
| Provider Enumeration Date | 10/05/2007 |
| Last Update Date | 02/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902094725 | NPI | - | NPPES |
| 28143 | Other | FL | BLUE CROSS BLUE SHIELD |
| BD4403161 | Other | FL | D.E.A. NUMBER |
| 51801387 | Other | FL | AETNA PROVIDER NUMBER |
| ME61279 | Other | FL | FLORIDA STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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