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Organization
EXPRESS CARE CLINIC GROUP
Active
Organization
EXPRESS CARE CLINIC GROUP
Active
Other names
Express Care Clinic Group
Organization subpart
No
Provider details
NPI number
Authorized official
OLEKSANDR V ONUSHKO (PRESIDENT)
(407) 475-3366
Entity
Organization
Contact information
Practice address
2650 W STATE ROAD 434, LONGWOOD, FL 32779-4815
(407) 475-3366
(407) 475-3367
Mailing address
2650 W STATE ROAD 434, LONGWOOD, FL 32779-4815
(407) 475-3366
(407) 475-3367
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
09/17/2014
Last updated
11/12/2014
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