Physician Next Door, Llc | |
1834 N Alafaya Trl Ste C Orlando FL 32826-4743 | |
(941) 870-0199 | |
(941) 870-0203 |
Full Name | Physician Next Door, Llc |
---|---|
Speciality | Family Medicine - Adult Medicine |
Location | 1834 N Alafaya Trl, Orlando, Florida |
Authorized Official Name and Position | Gabriel Nuriel (AUTHORIZED OFFICIAL / SHAREHOLDER) |
Authorized Official Contact | 9418700199 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Physician Next Door, Llc 1834 N Alafaya Trl Ste C Orlando FL 32826-4743 Ph: (941) 870-0199 | Physician Next Door, Llc 1834 N Alafaya Trl Ste C Orlando FL 32826-4743 Ph: (941) 870-0199 |
NPI Number | 1568716645 |
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Provider Enumeration Date | 10/29/2012 |
Last Update Date | 06/24/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568716645 | NPI | - | NPPES |
HM571A | Other | FL | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0505X | Family Medicine - Adult Medicine | OS7691 (Florida) | Primary |
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