East Orlando Family Medicine Associates PA
Family Medicine in Orlando, FL. Organization (NPI-2).
NPI number1619906567
StatusActive
Last updated in NPPESApr 14, 2009
Details
- NPI
- 1619906567
- Entity type
- Organization (NPI-2)
- Legal business name
- East Orlando Family Medicine Associates PA
- Organization subpart
- No
- Enumeration date
- Jul 2, 2006
- Last updated
- Apr 14, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | OS5964 | FL | Yes |
Practice location
12301 Lake Underhill RdSuite 219
Orlando, FL 32828-4508
Phone 407-249-3077 · Fax 407-249-3017
Mailing address
Po Box 781789Orlando, FL 32878-1789
Phone 407-249-3077 · Fax 407-249-3017
Authorized official
Ronald C Mallonee
President
4072493077
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