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Organization
DOWNTOWN PRIMARY CLINIC LLC
Active
Organization
DOWNTOWN PRIMARY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LASHUNDA STANDIFER (ADMIN)
(407) 863-9111
Entity
Organization
Contact information
Practice address
150 W MICHIGAN ST, ORLANDO, FL 32806-4463
(407) 863-9111
(407) 613-5085
Mailing address
PO BOX 568368, ORLANDO, FL 32856-8368
(407) 863-9111
(407) 613-5085
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
111NN1001X
Nutrition Chiropractor
—
NULL
111NN1001X
Nutrition Chiropractor
—
—
111NR0200X
Radiology Chiropractor
—
NULL
111NR0200X
Radiology Chiropractor
—
—
111NX0100X
Occupational Health Chiropractor
—
NULL
111NX0100X
Occupational Health Chiropractor
—
—
111NX0800X
Orthopedic Chiropractor
—
NULL
111NX0800X
Orthopedic Chiropractor
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261Q00000X
Clinic/Center
—
NULL
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
NULL
261QH0100X
Health Service Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
261QP2000X
Physical Therapy Clinic/Center
—
NULL
261QP3300X
Pain Clinic/Center
—
NULL
261QR0200X
Radiology Clinic/Center
—
NULL
332900000X
Non-Pharmacy Dispensing Site
—
NULL
Other
Enumeration date
08/21/2024
Last updated
09/16/2024
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