MEDICARE: MEDICAL OFFICE CONSULTANTS, 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
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1689875882
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL OFFICE CONSULTANTS, INC.

Provider Business Mailing Address
First Line	:	5636 HANSEL AVE
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32809-4216
Country	:	US
Telephone Number	:	407-850-0056
Fax Number	:	407-240-7693

Provider Business Practice Location Address
First Line	:	5636 HANSEL AVE
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32809-4216
Country	:	US
Telephone Number	:	407-850-0056
Fax Number	:	407-240-7693

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KELLY ANN HITE
Credential	:
Telephone Number	:	407-850-0056

Provider Enumeration Date	:	05/29/2007
Last Update Date	:	08/22/2020

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