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Organization
EPOC CLINIC LLC
Active
Organization
EPOC CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES S PENDERGRAFT III MD (MANAGER)
(407) 898-2046
Entity
Organization
Contact information
Practice address
609 VIRGINIA DR, ORLANDO, FL 32803-1844
(407) 898-2046
(407) 898-2218
Mailing address
609 VIRGINIA DR, ORLANDO, FL 32803-1844
(407) 898-2046
(407) 898-2218
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
07/08/2009
Last updated
07/08/2009
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