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1528617230
JUAN GUILLERMO MADRID LOPERA
ORLANDO, FL
NPI
1528617230
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: FL PT34845)
Enumeration Date
2019-09-05
Last Update Date
2019-09-05
Business Address
JUAN GUILLERMO MADRID LOPERA PT
7975 LAKE UNDERHILL RD STE 345
ORLANDO, FL 32822-8209
Phone number: 407-303-8626
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Mailing Address
JUAN GUILLERMO MADRID LOPERA PT
505 SAN MARIE AVE
ALTAMONTE SPRINGS, FL 32714-2228
Phone number: 407-754-5490
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