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1992730550
PROGRESSIVE PEDIATRICS OF ORLANDO PA
LONGWOOD, FL
NPI
1992730550
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Entity Type
Organization
Authorized Contact
ALFONSO MIRELES
Owner
407-830-5437
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: FL ME54968)
Enumeration Date
2006-07-12
Last Update Date
2008-05-14
Business Address
PROGRESSIVE PEDIATRICS OF ORLANDO PA
521 W STATE ROAD 434 SUITE 101
LONGWOOD, FL 32750
Phone number: 407-830-5437
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Mailing Address
PROGRESSIVE PEDIATRICS OF ORLANDO PA
PO BOX 520879
LONGWOOD, FL 32752-0879
Phone number: 407-830-5437
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