| Orlando Internal Medicine Clnter | |
|
1315 S Orange Ave Suite 3a Orlando FL 32806-2145 | |
| (407) 423-4680 | |
| (407) 841-7669 |
| Full Name | Orlando Internal Medicine Clnter |
|---|---|
| Speciality | Internal Medicine |
| Location | 1315 S Orange Ave, Orlando, Florida |
| Authorized Official Name and Position | Lana Mccall (BILLING) |
| Authorized Official Contact | 4074234680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orlando Internal Medicine Clnter 1315 S Orange Ave Suite 3a Orlando FL 32806-2145 Ph: (407) 423-4680 | Orlando Internal Medicine Clnter 1315 S Orange Ave Suite 3a Orlando FL 32806-2145 Ph: (407) 423-4680 |
| NPI Number | 1730207390 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 11/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730207390 | NPI | - | NPPES |
| 039919100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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