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Organization
WEST ORANGE PHYSICIANS GROUP, LLC
Active
Organization
WEST ORANGE PHYSICIANS GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALLISON KELLY RN (DIRECTOR, PHYSICIAN OPERATIONS)
(407) 296-1823
Entity
Organization
Contact information
Practice address
10000 W COLONIAL DR, SUITE 496, OCOEE, FL 34761-3498
(407) 296-1823
(407) 296-1873
Mailing address
PO BOX 919297, ORLANDO, FL 32891-9297
(407) 296-1823
(407) 296-1873
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/18/2009
Last updated
04/27/2010
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