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Organization
J MICHAEL LATHAM M D PROFESSIONAL ASSOCIATION
Active
Organization
J MICHAEL LATHAM M D PROFESSIONAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M LATHAM MD (PRESIDENT)
(407) 540-3700
Entity
Organization
Contact information
Practice address
1111 LUCERNE TER, ORLANDO, FL 32806-1016
(407) 540-3700
(407) 540-3720
Mailing address
1111 LUCERNE TER, ORLANDO, FL 32806-1016
(407) 540-3700
(407) 540-3720
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/06/2010
Last updated
08/11/2010
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