Victor Luis Modesto M.D.

NPI 1700834561 - Colon & Rectal Surgery - 208C00000X

NPI Details
NPI 1700834561
Gender Male
Enumeration Date 05/04/2006
Last Updated 12/11/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
7806 LAKE UNDERHILL RD
SUITE 106
ORLANDO FL, 32822-8232, US
Phone (407) 273-2525
Fax (407) 273-2624
Business Location
7806 LAKE UNDERHILL RD
SUITE 106
ORLANDO FL, 32822-8232, US
Phone (407) 273-2525
Fax (407) 273-2624
Toxanomy
Taxonomy Code 208C00000X
License State Florida
License Number ME82323
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According to our database, Dr. Victor Luis Modesto M.D. NPI is 1700834561, taxonomy code is 208C00000X and license number is ME82323, license state is located at Florida. Victor Luis Modesto M.D. physically located at 7806 Lake Underhill Rd, Orlando FL, 32822-8232. NPI Number Victor Luis Modesto M.D. has the Individual type.

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1700834561 NPI number is provided on an as is basis without warranty of any kind. 1700834561 is maintained by the National Plan & Provider Enumeration System. The contents of Victor Luis Modesto M.D. are for informational purposes only.