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Organization
GARDEN OF EDEN MEDICAL GROUP LLC
Active
Organization
GARDEN OF EDEN MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH THOMPSON (PRESIDENT)
(407) 442-0263
Entity
Organization
Contact information
Practice address
5401 S KIRKMAN RD STE 310, ORLANDO, FL 32819-7937
(407) 442-0263
Mailing address
5401 S KIRKMAN RD STE 310, ORLANDO, FL 32819-7937
(407) 442-0263
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
NULL
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
—
NULL
133V00000X
Registered Dietitian
—
—
175F00000X
Naturopath
—
NULL
175F00000X
Naturopath
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/08/2017
Last updated
07/21/2022
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