| |
3400 Quadrangle Blvd Orlando FL 32817 | |
(407) 266-3627 | |
(407) 882-4799 |
Full Name | |
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Speciality | Family Medicine |
Location | 3400 Quadrangle Blvd, Orlando, Florida |
Authorized Official Name and Position | Deborah C German (VICE PRESIDENT MEDICAL AFFAIRS) |
Authorized Official Contact | 4072661000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3400 Quadrangle Blvd Orlando FL 32817-1492 Ph: (407) 266-1000 | 3400 Quadrangle Blvd Orlando FL 32817 Ph: (407) 266-3627 |
NPI Number | 1104066216 |
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Provider Enumeration Date | 03/02/2009 |
Last Update Date | 08/01/2018 |
Identifier | Type | State | Issuer |
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1104066216 | NPI | - | NPPES |
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