| Maitland Primary Care | |
|
301 S Maitland Ave Suite B Maitland FL 32751-5631 | |
| (407) 678-3255 | |
| Not Available |
| Full Name | Maitland Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 301 S Maitland Ave, Maitland, Florida |
| Authorized Official Name and Position | Vincent Paul Wilson (PRESIDENT) |
| Authorized Official Contact | 4076783255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maitland Primary Care 301 S Maitland Ave Suite B Maitland FL 32751-5631 Ph: (407) 678-3255 | Maitland Primary Care 301 S Maitland Ave Suite B Maitland FL 32751-5631 Ph: (407) 678-3255 |
| NPI Number | 1467638924 |
|---|---|
| Provider Enumeration Date | 01/15/2008 |
| Last Update Date | 01/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467638924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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