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424 N Park Ave Apopka FL 32712-4152 | |
| (407) 886-0611 | |
| (407) 886-2817 |
| Full Name | |
|---|---|
| Speciality | General Practice |
| Location | 424 N Park Ave, Apopka, Florida |
| Authorized Official Name and Position | Adlai Steven Green (BOSS) |
| Authorized Official Contact | 4078860611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
424 N Park Ave Apopka FL 32712-4152 Ph: (407) 886-0611 | 424 N Park Ave Apopka FL 32712-4152 Ph: (407) 886-0611 |
| NPI Number | 1326308719 |
|---|---|
| Provider Enumeration Date | 05/21/2012 |
| Last Update Date | 05/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326308719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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