Apuc Primary Care
Clinic/Center, Primary Care in Orlando, FL. Organization (NPI-2).
NPI number1902105877
StatusActive
Last updated in NPPESMar 18, 2011
Details
- NPI
- 1902105877
- Entity type
- Organization (NPI-2)
- Legal business name
- Apuc Primary Care
- Organization subpart
- No
- Enumeration date
- Mar 18, 2011
- Last updated
- Mar 18, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | HCC9039 | FL | Yes |
Practice location
3861 Avalon Park East BlvdOrlando, FL 32828-4853
Phone 407-936-4635
Mailing address
3861 Avalon Park East BlvdOrlando, FL 32828-4853
Authorized official
Willie Pierre
President
4079364635
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