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Organization
OMT HEALTHCARE SERVICES LLC
Active
Organization
OMT HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ORESTES MEDEROS TRUJILLO MD (OWNER)
(786) 553-0177
Entity
Organization
Contact information
Practice address
777 N ORANGE AVE APT 515, ORLANDO, FL 32801-1184
(786) 553-0177
Mailing address
777 N ORANGE AVE APT 515, ORLANDO, FL 32801-1184
(786) 553-0177
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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