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Organization
ORLANDO FAMILY PHYSICIANS
Active
Organization
ORLANDO FAMILY PHYSICIANS
Active
Other names
Bradenton East Integrative Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
PENELOPE KOKKINIDES (CHIEF ADMINISTRATIVE OFFICER)
(201) 270-7825
Entity
Organization
Contact information
Practice address
8614 STATE ROAD 70 E STE 200, BRADENTON, FL 34202-3710
(941) 727-1243
Mailing address
6900 TAVISTOCK LAKES BLVD STE 300, ORLANDO, FL 32827-7592
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/31/2023
Last updated
03/31/2023
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