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1629222146
DELANEY PARK FAMILY PRACTICE LLC
ORLANDO, FL
NPI
1629222146
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Entity Type
Organization
Authorized Contact
LAWRENCE D PORTER
Owner
407-423-2571
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME12701)
Enumeration Date
2008-11-11
Last Update Date
2009-02-11
Business Address
DELANEY PARK FAMILY PRACTICE LLC
900 DELANEY AVE
ORLANDO, FL 32806-1246
Phone number: 407-423-2571
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Mailing Address
DELANEY PARK FAMILY PRACTICE LLC
1495 S VOLUSIA AVE SUITE 102
ORANGE CITY, FL 32763-7047
Phone number: 386-774-5211
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