| Physician Next Door, Llc | |
|
1834 N Alafaya Trl Suite C Orlando FL 32826-4743 | |
| (941) 870-0199 | |
| (941) 870-0203 |
| Full Name | Physician Next Door, Llc |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 1834 N Alafaya Trl, Orlando, Florida |
| Authorized Official Name and Position | Gabriel Nuriel (CEO) |
| Authorized Official Contact | 9418700199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Next Door, Llc 1834 N Alafaya Trl Suite C Orlando FL 32826-4743 Ph: (941) 870-0199 | Physician Next Door, Llc 1834 N Alafaya Trl Suite C Orlando FL 32826-4743 Ph: (941) 870-0199 |
| NPI Number | 1114336740 |
|---|---|
| Provider Enumeration Date | 08/07/2014 |
| Last Update Date | 06/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114336740 | NPI | - | NPPES |
| HM571A | Other | FL | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | OS7691 (Florida) | Primary |
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