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Organization
LAUREL OAKS FAMILY PRACTICE OF CENTRAL FLORIDA PA
Active
Organization
LAUREL OAKS FAMILY PRACTICE OF CENTRAL FLORIDA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES BRADLEY WILSON JR. D.O. (PRESIDENT)
(407) 877-1990
Entity
Organization
Contact information
Practice address
2711 MAGUIRE RD, OCOEE, FL 34761-4797
(407) 877-1990
(407) 877-1995
Mailing address
2711 MAGUIRE RD, OCOEE, FL 34761-4797
(407) 877-1990
(407) 877-1995
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS7986
FL
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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