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Organization
MEDSTATION ORLANDO PRIMARY CARE LLC
Active
Organization
MEDSTATION ORLANDO PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME COLOMBINO GONZALEZ MD (AMBR)
(352) 394-5535
Entity
Organization
Contact information
Practice address
1601 PARK CENTER DR, SUITE # 9, ORLANDO, FL 32835-5700
(321) 219-9301
(954) 582-6715
Mailing address
1601 PARK CENTER DR, SUITE # 9, ORLANDO, FL 32835-5700
(321) 219-9301
(954) 582-6715
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0049457
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006455900
—
FL
01
—
1316936461
NPI
FL
Enumeration date
09/23/2016
Last updated
09/23/2016
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