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NPI Code Detail

MEDICARE: ORLANDO PHYSICIANS NETWORK INC

MEDICARE: ORLANDO PHYSICIANS NETWORK INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1114693371
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORLANDO PHYSICIANS NETWORK INC
Provider Business Mailing Address
First Line : 1414 KUHL AVE # MP38
Second Line :
City : ORLANDO
State : FL
Zip : 32806-2008
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4401 S ORANGE AVE STE 108
Second Line :
City : ORLANDO
State : FL
Zip : 32806-6934
Country : US
Telephone Number : 407-245-1424
Fax Number :
Authorized Official
Title or Position : VP, REVENUE MANAGEMENT
Name : MICHELE NAPIER
Credential :
Telephone Number : 321-841-3492
Provider Enumeration Date : 08/18/2021
Last Update Date : 08/18/2021

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Directions to “ORLANDO PHYSICIANS NETWORK INC ” Practice Location

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