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Organization
GLORIOSA ANTIPORDA, M.D.,P.A.
Active
Organization
GLORIOSA ANTIPORDA, M.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIOSA R ANTIPORDA M.D. (PRESIDENT)
(904) 713-8074
Entity
Organization
Contact information
Practice address
2040 RIVERVIEW ST, JACKSONVILLE, FL 32208-2657
(904) 713-8074
(904) 924-8217
Mailing address
PO BOX 850001, ORLANDO, FL 32885-0001
(904) 282-6331
(904) 282-1550
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME49981
FL
207R00000X
Internal Medicine Physician
Primary
ME47869
FL
Other
Enumeration date
02/04/2009
Last updated
02/04/2009
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