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Organization
HITCHCOCK HEALTH INSTITUTE PA
Active
Organization
HITCHCOCK HEALTH INSTITUTE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARA DAVIS HITCHCOCK M.D. (OWNER/DOCTOR)
(407) 578-3303
Entity
Organization
Contact information
Practice address
7932 W SAND LAKE RD, SUITE 201, ORLANDO, FL 32819-7263
(407) 578-3303
(407) 578-9144
Mailing address
7932 W SAND LAKE RD, SUITE 201, ORLANDO, FL 32819-7263
(407) 578-3303
(407) 578-9144
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME79029
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME79029
STATE LICENSE NUMBER
FL
Enumeration date
07/05/2006
Last updated
04/27/2018
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