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1336356492
THE FAMILY PHYSICIAN OF BVL
KISSIMMEE, FL
NPI
1336356492
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Entity Type
Organization
Authorized Contact
FAUSTO RONALD BURGOS
Physican
407-348-9111
Organization Subpart ?
No
Primary Taxonomy
173000000X Legal Medicine
(Licence: FL ME62672)
Enumeration Date
2007-05-17
Last Update Date
2011-04-27
Business Address
THE FAMILY PHYSICIAN OF BVL
3071 MICHIGAN AVE
KISSIMMEE, FL 34744-1501
Phone number: 407-348-9111
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Mailing Address
THE FAMILY PHYSICIAN OF BVL
3071 MICHIGAN AVE
KISSIMMEE, FL 34744-1501
Phone number: 407-348-9111
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