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1306048343
GOOD SHEPHERD PRIMARY CARE, P.A.
ORLANDO, FL
NPI
1306048343
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Entity Type
Organization
Authorized Contact
MARIBEL AVILES
President
407-282-4142
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME0066465)
Enumeration Date
2007-06-01
Last Update Date
2007-07-18
Business Address
GOOD SHEPHERD PRIMARY CARE, P.A.
1170 S SEMORAN BLVD SUITE D
ORLANDO, FL 32807-1458
Phone number: 407-282-4142
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Mailing Address
GOOD SHEPHERD PRIMARY CARE, P.A.
1170 S SEMORAN BLVD SUITE D
ORLANDO, FL 32807-1458
Phone number: 407-282-4142
Copy
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