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1907 Belford Ct Maitland FL 32751-4210 | |
| (407) 252-7486 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 1907 Belford Ct, Maitland, Florida |
| Authorized Official Name and Position | Vraj Panara (PRESIDENT) |
| Authorized Official Contact | 4072527486 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1907 Belford Ct Maitland FL 32751-4210 Ph: (407) 252-7486 | 1907 Belford Ct Maitland FL 32751-4210 Ph: (407) 252-7486 |
| NPI Number | 1386838738 |
|---|---|
| Provider Enumeration Date | 08/29/2007 |
| Last Update Date | 02/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386838738 | NPI | - | NPPES |
| 253147000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0061625 (Florida) | Primary |
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