Woodland Lakes Family Practice Pa

NPI 1083806269 - General Practice - 208D00000X

NPI Details
NPI 1083806269
Enumeration Date 08/13/2007
Last Updated 08/06/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GEORGE M GEORGE
Position OWNER
Phone (321) 235-0970
Fax (321) 235-0971
Practice Location
13000 AVALON LAKE DR
SUITE 100
ORLANDO FL, 32828-6434, US
Phone (321) 235-0970
Fax (321) 235-0971
Business Location
13000 AVALON LAKE DR
SUITE 100
ORLANDO FL, 32828-6434, US
Phone (321) 235-0970
Fax (321) 235-0971
Toxanomy
Taxonomy Code 208D00000X
License State Florida
License Number 0S5964
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According to our database, Woodland Lakes Family Practice Pa NPI is 1083806269, taxonomy code is 208D00000X and license number is 0S5964, license state is located at Florida. Woodland Lakes Family Practice Pa physically located at 13000 Avalon Lake Dr, Orlando FL, 32828-6434. NPI Number 1033115704 has the healthcare provider type.

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1083806269 NPI number is provided on an as is basis without warranty of any kind. 1083806269 is maintained by the National Plan & Provider Enumeration System. The contents of Woodland Lakes Family Practice Pa are for informational purposes only.