| |
4700 Millenia Blvd Ste 175 Orlando FL 32839-6015 | |
(484) 620-2601 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 4700 Millenia Blvd Ste 175, Orlando, Florida |
Authorized Official Name and Position | Samantha Zitomer (CEO) |
Authorized Official Contact | 4846202601 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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660 Meadowbrook Dr Apt 660 Huntingdon Valley PA 19006-6918 Ph: (215) 858-3142 | 4700 Millenia Blvd Ste 175 Orlando FL 32839-6015 Ph: (484) 620-2601 |
NPI Number | 1952984577 |
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Provider Enumeration Date | 05/02/2021 |
Last Update Date | 12/01/2023 |
Identifier | Type | State | Issuer |
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1952984577 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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