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1366626111
ORLANDO PORTAL
RIVERVIEW, FL
NPI
1366626111
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL ME 100005)
Enumeration Date
2007-12-27
Last Update Date
2020-08-19
Business Address
ORLANDO PORTAL M.D.
13150 VAIL RIDGE DR
RIVERVIEW, FL 33579-7187
Phone number: 813-374-8883
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Mailing Address
ORLANDO PORTAL M.D.
PO BOX 3695
APOLLO BEACH, FL 33572-1010
Phone number: 813-374-8883
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