WATERFORD PARK FAMILY MEDICINE

ORLANDO, FL
NPI1922271261
Entity TypeOrganization
Authorized ContactRONLALD MALLONEE
Owner
407-249-3077
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  OS6833)
Enumeration Date2008-04-08
Last Update Date2008-10-23
Business Address
WATERFORD PARK FAMILY MEDICINE
12301 LAKE UNDERHILL RD SUITE 219
ORLANDO, FL 32828-4508
Phone number: 407-249-3077
Mailing Address
WATERFORD PARK FAMILY MEDICINE
PO BOX 781789
ORLANDO, FL 32878-1789
Phone number: 407-249-3077
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