| |
1462 W Oak Ridge Road Orlando FL 32809 | |
(407) 770-0078 | |
(407) 888-3310 |
Full Name | |
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Speciality | Clinic/center - Urgent Care |
Location | 1462 W Oak Ridge Road, Orlando, Florida |
Authorized Official Name and Position | Khalid Manzur (PRESIDENT) |
Authorized Official Contact | 3216623821 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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816 W Oak Street Kissimmee FL 34741 Ph: (407) 944-9777 | 1462 W Oak Ridge Road Orlando FL 32809 Ph: (407) 770-0078 |
NPI Number | 1871558973 |
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Provider Enumeration Date | 04/20/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1871558973 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
208000000X | Pediatrics | (* (Not Available)) | Primary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
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