ORIGINS FUNCTIONAL MEDICINE, LLC

MAITLAND, FL
NPI1164882437
Entity TypeOrganization
Authorized ContactLINDA MATTEOLI
Owner
407-902-4912
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  OS13606)
Enumeration Date2016-03-01
Last Update Date2016-03-01
Business Address
ORIGINS FUNCTIONAL MEDICINE, LLC
260 LOOKOUT PL STE 106
MAITLAND, FL 32751-4485
Phone number: 407-902-1942
Mailing Address
ORIGINS FUNCTIONAL MEDICINE, LLC
260 LOOKOUT PL STE 106
MAITLAND, FL 32751-4485
Phone number: 407-902-1942
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