| Orlando Freedom Medical Clinic, Inc | |
|
331 N Maitland Ave Ste D2 Maitland FL 32751-4755 | |
| (407) 636-4100 | |
| (407) 636-4126 |
| Full Name | Orlando Freedom Medical Clinic, Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 331 N Maitland Ave Ste D2, Maitland, Florida |
| Authorized Official Name and Position | Robert R Reppy (OWNER/PROVIDER) |
| Authorized Official Contact | 4076364100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orlando Freedom Medical Clinic, Inc 331 N Maitland Ave Ste D2 Maitland FL 32751-4755 Ph: (407) 636-4100 | Orlando Freedom Medical Clinic, Inc 331 N Maitland Ave Ste D2 Maitland FL 32751-4755 Ph: (407) 636-4100 |
| NPI Number | 1023601259 |
|---|---|
| Provider Enumeration Date | 02/18/2021 |
| Last Update Date | 02/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023601259 | NPI | - | NPPES |
| 716944700 | Other | OWCP DEPARTMENT OF LABOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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