Fla Medical Group, Llc

NPI 1770872814 - Pain Medicine - 208VP0000X

NPI Details
NPI 1770872814
Enumeration Date 03/29/2011
Last Updated 03/29/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name BODO BODO
Position PHYSICIAN/MEDICAL DIRECTOR
Phone (407) 293-1790
Fax (407) 293-1791
Practice Location
8609 FOREST CITY RD
ORLANDO FL, 32810-2262, US
Phone (407) 293-1790
Fax (407) 293-1791
Business Location
8609 FOREST CITY RD
ORLANDO FL, 32810-2262, US
Phone (407) 293-1790
Fax (407) 293-1791
Toxanomy
Taxonomy Code 208VP0000X
License State Florida
License Number OS1683
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According to our database, Fla Medical Group, Llc NPI is 1770872814, taxonomy code is 208VP0000X and license number is OS1683, license state is located at Florida. Fla Medical Group, Llc physically located at 8609 Forest City Rd, Orlando FL, 32810-2262. NPI Number 1033115704 has the healthcare provider type.

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1770872814 NPI number is provided on an as is basis without warranty of any kind. 1770872814 is maintained by the National Plan & Provider Enumeration System. The contents of Fla Medical Group, Llc are for informational purposes only.