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Organization
CENTRAL FLORIDA WOUND AND SKIN CONSULTANTS
Active
Organization
CENTRAL FLORIDA WOUND AND SKIN CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITA LARACUENTE MD (VICE PRESIDENT)
(407) 359-6426
Entity
Organization
Contact information
Practice address
14325 BENDING BRANCH CT, ORLANDO, FL 32824-6346
(407) 359-6426
(407) 359-6426
Mailing address
PO BOX 607521, ORLANDO, FL 32860-7521
(407) 359-6426
(407) 359-6426
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
70410
ZZ
Other
Enumeration date
02/25/2009
Last updated
02/25/2009
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