# CENTRAL FLORIDA PRIMARY CARE PA

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

## Provider details

- **NPI number:** 1699893701
- **Authorized official:** FLORENCIO ELLO MD (PRESIDENT)
- **Authorized official phone:** (407) 380-1951

## Contact information

- **Practice address:** 172 S SEMORAN BLVD, ORLANDO, FL 32807-3293
- **Practice address phone:** (407) 380-1951
- **Practice address fax:** (407) 380-1343
- **Mailing address:** 172 S SEMORAN BLVD, ORLANDO, FL 32807-3293
- **Mailing address phone:** (407) 380-1951
- **Mailing address fax:** (407) 380-1343

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/27/2007
- **Last updated:** 12/30/2008