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6000 Turkey Lake Rd Ste 101 Orlando FL 32819-4205 | |
(407) 363-1515 | |
(407) 363-9538 |
Full Name | |
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Speciality | Internal Medicine |
Location | 6000 Turkey Lake Rd Ste 101, Orlando, Florida |
Authorized Official Name and Position | Scott Levine (OWNER) |
Authorized Official Contact | 4073631515 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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6000 Turkey Lake Rd Ste 101 Orlando FL 32819-4205 Ph: (407) 363-1515 | 6000 Turkey Lake Rd Ste 101 Orlando FL 32819-4205 Ph: (407) 363-1515 |
NPI Number | 1619421542 |
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Provider Enumeration Date | 08/09/2016 |
Last Update Date | 08/09/2016 |
Identifier | Type | State | Issuer |
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1619421542 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | ME55318 (Florida) | Primary |
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