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Organization
PARK PLACE MEDICAL, LLC
Active
Organization
PARK PLACE MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EMMA ZAINABU SANDI ARNP (CEO)
(407) 712-0514
Entity
Organization
Contact information
Practice address
1800 PEMBROOK DR STE 300, ORLANDO, FL 32810-6378
(407) 712-0514
Mailing address
1800 PEMBROOK DR STE 300, ORLANDO, FL 32810-6378
(407) 712-0514
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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