# DOCTOR'S ASSOCIATES OF ORLANDO , LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093012049
- **Authorized official:** PRUDENT MARCELIN MD (PRESIDENT)
- **Authorized official phone:** (954) 557-8701

## Contact information

- **Practice address:** 670 N ORLANDO AVE STE 1012, MAITLAND, FL 32751-4465
- **Practice address phone:** (407) 790-7870
- **Practice address fax:** (407) 790-7872
- **Mailing address:** 670 N ORLANDO AVE STE 1012, MAITLAND, FL 32751-4465
- **Mailing address phone:** (407) 790-7870
- **Mailing address fax:** (407) 790-7872

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | L11000021999 | FL | Yes |

## Other

- **Enumeration date:** 02/26/2011
- **Last updated:** 07/20/2011