# PARK AVE MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** APOPKA WELLNESS CENTER
- **Other names:** Park Ave Medical Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1326308719
- **Legal business name:** APOPKA WELLNESS CENTER
- **Authorized official:** DR. ADLAI STEVEN GREEN DC (BOSS)
- **Authorized official phone:** (407) 886-0611

## Contact information

- **Practice address:** 424 N PARK AVE, APOPKA, FL 32712-4152
- **Practice address phone:** (407) 886-0611
- **Practice address fax:** (407) 886-2817
- **Mailing address:** 424 N PARK AVE, APOPKA, FL 32712-4152
- **Mailing address phone:** (407) 886-0611
- **Mailing address fax:** (407) 886-2817

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/21/2012
- **Last updated:** 05/21/2012