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Organization
MEND VIP, INC
Active
Organization
MEND VIP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW MCBRIDE (CEO)
(734) 748-1079
Entity
Organization
Contact information
Practice address
4767 NEW BROAD ST, ORLANDO, FL 32814-6405
(407) 848-1013
Mailing address
4767 NEW BROAD ST, ORLANDO, FL 32814-6405
(407) 848-1013
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS4294
FL
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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