| Innovacare Central Florida Physicians, LLC | |
|
6900 Tavistock Lakes Blvd Ste 300 Orlando FL 32827-7592 | |
| (321) 332-6947 | |
| (407) 286-4515 |
| Full Name | Innovacare Central Florida Physicians, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 6900 Tavistock Lakes Blvd Ste 300, Orlando, Florida |
| Authorized Official Name and Position | Dwight Perez (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 3057335713 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovacare Central Florida Physicians, LLC 6900 Tavistock Lakes Blvd Ste 300 Orlando FL 32827-7592 Ph: (321) 332-6947 | Innovacare Central Florida Physicians, LLC 6900 Tavistock Lakes Blvd Ste 300 Orlando FL 32827-7592 Ph: (321) 332-6947 |
| NPI Number | 1780359513 |
|---|---|
| Provider Enumeration Date | 08/13/2021 |
| Last Update Date | 08/13/2021 |
| Certification Date | 08/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780359513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
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