Organization · NPI-2

Aaa Physicians Group

Clinic/Center · Orlando, FL

NPI number1467059741
StatusActive
Last updated in NPPESOct 8, 2020

Details

NPI
1467059741
Entity type
Organization (NPI-2)
Legal business name
Aaa Physicians Group
Organization subpart
No
Enumeration date
Oct 8, 2020
Certification date
Oct 8, 2020
Last updated
Oct 8, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

109 Terra Mango Loop Ste B
Orlando, FL 32835-8511

Phone 407-969-2226 · Fax 407-574-5399

Mailing address

109 Terra Mango Loop Ste B
Orlando, FL 32835-8511

Phone 407-969-2226 · Fax 407-574-5399

Authorized official

Ronald Utter
Owner
4075091414

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