# RALPH CLINIC CENTER INC

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

## Provider details

- **NPI number:** 1568796795
- **Authorized official:** LUIS REYES (PRESIDENT)
- **Authorized official phone:** (407) 206-2944

## Contact information

- **Practice address:** 5456 HOFFNER AVE, STE 205, ORLANDO, FL 32812-2517
- **Practice address phone:** (407) 206-2944
- **Practice address fax:** (407) 601-1258
- **Mailing address:** 5456 HOFFNER AVE, STE 205, ORLANDO, FL 32812-2517
- **Mailing address phone:** (407) 206-2944
- **Mailing address fax:** (407) 601-1258

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | HCC8567 | FL | Yes |

## Other

- **Enumeration date:** 09/21/2009
- **Last updated:** 09/21/2009
