Orlando Physician Group LLC
Internal Medicine in Kissimmee, FL. Organization (NPI-2).
NPI number1013533975
StatusActive
Last updated in NPPESJun 17, 2020
Details
- NPI
- 1013533975
- Entity type
- Organization (NPI-2)
- Legal business name
- Orlando Physician Group LLC
- Organization subpart
- No
- Enumeration date
- Jun 17, 2020
- Certification date
- Jun 17, 2020
- Last updated
- Jun 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
222 BroadwayKissimmee, FL 34741-5781
Phone 407-718-6290 · Fax 407-930-8992
Mailing address
226 W Michigan StOrlando, FL 32806-4446
Phone 407-704-8380 · Fax 407-930-8992
Authorized official
Ahmed Sadek
Owner
4077183492
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