South Orlando Family Practice & Medical Injury Center Llc in Orlando - Adolescent Medicine
South Orlando Family Practice & Medical Injury Center Llc - NPI 1013020114
South Orlando Family Practice & Medical Injury Center Llc is a Adolescent Medicine in Orlando, Florida. South Orlando Family Practice & Medical Injury Center Llc practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for South Orlando Family Practice & Medical Injury Center Llc is 1013020114. The last update date is 2020-08-22.
South Orlando Family Practice & Medical Injury Center Llc's current location address is 4401 S Orange Ave, Orlando, Florida. You can contact this provider via phone number 4078502593 and fax number 4078509645. The mailing address for South Orlando Family Practice & Medical Injury Center Llc is 4401 S Orange Ave, Orlando, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Orlando Family Practice & Medical Injury Center Llc |
|---|---|
| Address | 4401 S Orange Ave, Orlando, Florida |
| Phone Number | 4078502593 |
| Fax Number | 4078509645 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PARTNER |
|---|---|
| Authorized Official Name | Murray V John |
| Credentials | MD |
| Telephone Number | 4078502593 |
NPI Number Detail
| NPI Number | 1013020114 |
|---|---|
| Provider Enumeration Date | 2006-08-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4401 S Orange Ave |
|---|---|
| City | Orlando |
| State | Florida (FL) |
| Post Code | 328066946 |
| Phone Number | 4078502593 |
| Fax Number | 4078509645 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 207Qa0000X |
|
Definition: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
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What is the South Orlando Family Practice & Medical Injury Center Llc's 1013020114?
The South Orlando Family Practice & Medical Injury Center Llc's NPI (National Provider Identifier) Number is 1013020114. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the South Orlando Family Practice & Medical Injury Center Llc located?
The South Orlando Family Practice & Medical Injury Center Llc is located at 4401 S Orange Ave, Orlando, FL 328066946.
What is South Orlando Family Practice & Medical Injury Center Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The South Orlando Family Practice & Medical Injury Center Llc's specialized field of practice is Adolescent Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Qa0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1013020114 to South Orlando Family Practice & Medical Injury Center Llc?
The Centers for Medicare & Medicaid Services assigned the 1013020114 to South Orlando Family Practice & Medical Injury Center Llc on 2006-08-16.
As of what date were the details related to South Orlando Family Practice & Medical Injury Center Llc most recently updated or revised?
The information pertaining to South Orlando Family Practice & Medical Injury Center Llc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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