# LYMPHEDEMA CLINIC OF ORLANDO, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558655647
- **Authorized official:** DR. MOHAMMAD M ESKANDARI M.D. (PRESIDENT)
- **Authorized official phone:** (407) 865-6700

## Contact information

- **Practice address:** 2139 W STATE ROAD 434, SUITE \#101, LONGWOOD, FL 32779-5019
- **Practice address phone:** (407) 865-6700
- **Mailing address:** 2139 W STATE ROAD 434, SUITE \#101, LONGWOOD, FL 32779-5019
- **Mailing address phone:** (407) 865-6700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME100524 | FL | Yes |

## Other

- **Enumeration date:** 06/06/2011
- **Last updated:** 11/05/2011
