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1922271261
WATERFORD PARK FAMILY MEDICINE
ORLANDO, FL
NPI
1922271261
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Entity Type
Organization
Authorized Contact
RONLALD MALLONEE
Owner
407-249-3077
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL OS6833)
Enumeration Date
2008-04-08
Last Update Date
2008-10-23
Business Address
WATERFORD PARK FAMILY MEDICINE
12301 LAKE UNDERHILL RD SUITE 219
ORLANDO, FL 32828-4508
Phone number: 407-249-3077
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Mailing Address
WATERFORD PARK FAMILY MEDICINE
PO BOX 781789
ORLANDO, FL 32878-1789
Phone number: 407-249-3077
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