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Organization
ST ANTHONY'S FAMILY MEDICAL PRACTICE MD PA
Active
Organization
ST ANTHONY'S FAMILY MEDICAL PRACTICE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY WHITE (MANAGER)
(407) 512-6401
Entity
Organization
Contact information
Practice address
1584 CITRUS MEDICAL CT, OCOEE, FL 34761-4547
(407) 512-6401
Mailing address
1584 CITRUS MEDICAL CT, OCOEE, FL 34761-4547
(407) 512-6401
(407) 512-6405
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME70004
FL
Other
Enumeration date
05/12/2011
Last updated
09/29/2012
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