| |
6000 S Rio Grande Ave Ste 206, Orlando, FL 32809-4650 | |
(407) 280-3776 | |
(407) 454-9007 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center |
Location | 6000 S Rio Grande Ave Ste 206, Orlando, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740553684 | NPI | - | NPPES |
110888200 | Medicaid | FL |
Mailing Address | Practice Location Address |
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5901 Sw 74th St Ste 210, Miami, FL 33143-5150 Ph: (305) 808-9820 | 6000 S Rio Grande Ave Ste 206, Orlando, FL 32809-4650 Ph: (407) 280-3776 |