| St. Anthony's Family Medical Practice M.d. | |
|
1768 Park Center Dr Orlando FL 32861 | |
| (407) 299-6160 | |
| (407) 299-9141 |
| Full Name | St. Anthony's Family Medical Practice M.d. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1768 Park Center Dr, Orlando, Florida |
| Authorized Official Name and Position | Mildred A. Jimenez (OWNER) |
| Authorized Official Contact | 4072996160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Anthony's Family Medical Practice M.d. 1768 Park Center Dr Suite 200 Orlando FL 32835-6200 Ph: (407) 299-6160 | St. Anthony's Family Medical Practice M.d. 1768 Park Center Dr Orlando FL 32861 Ph: (407) 299-6160 |
| NPI Number | 1659562957 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 08/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659562957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME70004 (Florida) | Primary |
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