| Nemours Children's Health, Lake Nona, Specialty Care | |
|
9368 Narcoossee Rd Ste 105 Orlando FL 32827-5704 | |
| (407) 650-7715 | |
| Not Available |
| Full Name | Nemours Children's Health, Lake Nona, Specialty Care |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 9368 Narcoossee Rd Ste 105, Orlando, Florida |
| Authorized Official Name and Position | Rodney Aaron Mckendree (VP, FINANCE) |
| Authorized Official Contact | 9046975648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nemours Children's Health, Lake Nona, Specialty Care 10140 Centurion Pkwy N Jacksonville FL 32256-0532 Ph: () - | Nemours Children's Health, Lake Nona, Specialty Care 9368 Narcoossee Rd Ste 105 Orlando FL 32827-5704 Ph: (407) 650-7715 |
| NPI Number | 1821666199 |
|---|---|
| Provider Enumeration Date | 06/14/2021 |
| Last Update Date | 06/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821666199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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