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2426 Marley Ct Orlando FL 32837-9132 | |
| (407) 579-9589 | |
| (407) 704-8493 |
| Full Name | |
|---|---|
| Speciality | Clinic/center |
| Location | 2426 Marley Ct, Orlando, Florida |
| Authorized Official Name and Position | Corinthia Loblack (NP) |
| Authorized Official Contact | 4075799589 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2426 Marley Ct Orlando FL 32837-9132 Ph: (407) 579-9589 | 2426 Marley Ct Orlando FL 32837-9132 Ph: (407) 579-9589 |
| NPI Number | 1629471826 |
|---|---|
| Provider Enumeration Date | 10/01/2014 |
| Last Update Date | 10/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629471826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | L08000044316 (Florida) | Primary |
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