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Organization
MID FLORIDA ADULT MEDICINE, LLC
Active
Organization
MID FLORIDA ADULT MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL IGLESIAS CEO (PRESIDENT/OWNER)
(786) 641-5348
Entity
Organization
Contact information
Practice address
7824 LAKE UNDERHILL RD, SUITE B, ORLANDO, FL 32822-8201
(407) 281-0470
(407) 273-1848
Mailing address
8750 NW 36TH ST, SUITE 300, DORAL, FL 33178-2425
(786) 641-5348
(305) 615-1121
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/16/2009
Last updated
02/24/2017
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