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Organization
ORLANDO PORTAL MD INC
Active
Organization
ORLANDO PORTAL MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ORLANDO PORTAL M.D. (OWNER & PRESIDENT)
(813) 374-8883
Entity
Organization
Contact information
Practice address
13150 VAIL RIDGE DR, RIVERVIEW, FL 33579-7187
(813) 374-8883
(813) 443-8361
Mailing address
219 FLAMINGO DR PMB 3695, APOLLO BEACH, FL 33572-7000
(813) 374-8883
(813) 443-8361
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME100005
FL
Other
Enumeration date
05/08/2014
Last updated
03/06/2026
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