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Organization
FAMILY PHYSICIAN GROUP
Active
Organization
FAMILY PHYSICIAN GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIJAYALAKSHMI POLAVARAPU M.D. (HOSPITALIST)
(407) 281-1755
Entity
Organization
Contact information
Practice address
6320 OLD WINTER GARDEN RD, ORLANDO, FL 32835-1381
(407) 822-4350
Mailing address
3391 S KIRKMAN RD, APT #1223, ORLANDO, FL 32811-1943
(407) 822-4350
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
ME#91019
FL
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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