CONNIE PROSKOVEC

ORLANDO, FL
NPI1205863131
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208D00000X General Practice
(Licence: FL  OS12811)
Additional Taxonomies208000000X Pediatrics
(Licence: OK  3212)
Enumeration Date2006-06-27
Last Update Date2015-05-13
Business Address
-- CONNIE PROSKOVEC DO
11715 ORPINGTON ST STE A TLC PEDIATRIC AND ADOLESCENT MEDICINE IN ASSOC WITH NEM
ORLANDO, FL 32817-4600
Phone number: 407-380-9115
Mailing Address
-- CONNIE PROSKOVEC DO
PO BOX 191 PROVIDER ENROLLMENT DEPARTMENT
ROCKLAND, DE 19732-0191
Phone number: 904-697-4203