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Organization
MEDICAL ASSOCIATES OF GREATER ORLANDO
Active
Organization
MEDICAL ASSOCIATES OF GREATER ORLANDO
Active
Other names
Innovative Express Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRASHANT JANI M.D. (MEDICAL DOCTOR / PARTNER)
(407) 986-0650
Entity
Organization
Contact information
Practice address
3014 MICHIGAN AVE, KISSIMMEE, FL 34744-1542
(407) 986-0650
(407) 930-4632
Mailing address
1115 N CENTRAL AVE, KISSIMMEE, FL 34741-4405
(407) 986-0650
(407) 930-4632
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME114445
FL
363AM0700X
Medical Physician Assistant
9101079
FL
363LA2200X
Adult Health Nurse Practitioner
ARNP9214160
FL
Other
Enumeration date
10/10/2016
Last updated
11/02/2016
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