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Organization
ORLANDO PRIMARY CARE PA
Active
Organization
ORLANDO PRIMARY CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VENKATESWARA R NANDAM M.D. (PRESIDENT)
(407) 298-0912
Entity
Organization
Contact information
Practice address
6200 SILVER STAR RD, ORLANDO, FL 32808-4245
(407) 298-0912
(407) 298-1750
Mailing address
6200 SILVER STAR RD, ORLANDO, FL 32808-4245
(407) 298-0912
(407) 298-1750
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME76077
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255449600
—
FL
Enumeration date
10/30/2007
Last updated
01/06/2013
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