Healthcare Provider Details
I. General information
NPI: 1518026517
Provider Name (Legal Business Name): STOP INJURY MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/06/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7339 E COLONIAL DR SUITE 2
ORLANDO FL
32807-6380
US
IV. Provider business mailing address
7339 E COLONIAL DR SUITE 2
ORLANDO FL
32807-6380
US
V. Phone/Fax
- Phone: 407-737-8263
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 170100000X |
| Taxonomy | Ph.D. Medical Genetics |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
GUILLERMO
RAMOS
Title or Position: PRESIDENT
Credential:
Phone: 407-737-8263