| The Family Doctors Of Buena Ventura Pa | |
|
14050 Town Loop Blvd Suite 201 Orlando FL 32837-6190 | |
| (407) 348-0399 | |
| (407) 348-8350 |
| Full Name | The Family Doctors Of Buena Ventura Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 14050 Town Loop Blvd, Orlando, Florida |
| Authorized Official Name and Position | Marin Bautista (PRESIDENT) |
| Authorized Official Contact | 4073480399 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Family Doctors Of Buena Ventura Pa 14050 Town Loop Blvd Suite 201 Orlando FL 32837-6190 Ph: (407) 348-0399 | The Family Doctors Of Buena Ventura Pa 14050 Town Loop Blvd Suite 201 Orlando FL 32837-6190 Ph: (407) 348-0399 |
| NPI Number | 1316159023 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 08/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316159023 | NPI | - | NPPES |
| 370827600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME62124 (Florida) | Primary |
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