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Organization
IMMANUEL'S IMAGES, INC
Active
Organization
IMMANUEL'S IMAGES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY FEDRICK BS, RDMS, RDCS, CCT (COO)
(407) 832-5066
Entity
Organization
Contact information
Practice address
954 LAKE BALDWIN LN, ORLANDO, FL 32814-6651
(407) 832-5066
Mailing address
1746 E SILVER STAR RD, STE 121, OCOEE, FL 34761-7014
Taxonomy
Speciality
Code
Description
License number
State
111NT0100X
Thermography Chiropractor
Primary
—
—
Other
Enumeration date
12/17/2014
Last updated
12/17/2014
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