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2609 S Orange Ave Ste 110 Orlando FL 32806-4533 | |
| (407) 644-2444 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 2609 S Orange Ave Ste 110, Orlando, Florida |
| Authorized Official Name and Position | Scott C Brady (PRESIDENT) |
| Authorized Official Contact | 4072002300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2600 Westhall Ln Ste 300 Maitland FL 32751-7107 Ph: (407) 200-2300 | 2609 S Orange Ave Ste 110 Orlando FL 32806-4533 Ph: (407) 644-2444 |
| NPI Number | 1902565526 |
|---|---|
| Provider Enumeration Date | 12/10/2021 |
| Last Update Date | 05/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902565526 | NPI | - | NPPES |
| 111754206 | Medicaid | FL | |
| DL090B | Other | FL | MEDICARE |
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