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Organization
ORLANDO KIDNEY SPECIALISTS PL
Active
Organization
ORLANDO KIDNEY SPECIALISTS PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAN T TUDOR M.D. (PRESIDENT)
(407) 323-5047
Entity
Organization
Contact information
Practice address
419 E 1ST ST, SANFORD, FL 32771-1407
(407) 323-5047
(407) 323-5048
Mailing address
PO BOX 1881, SANFORD, FL 32772-1881
(407) 323-5047
(407) 323-5048
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
09/18/2009
Last updated
09/18/2009
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