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Organization
EASTCOAST MEDICAL NETWORK INC
Active
Organization
EASTCOAST MEDICAL NETWORK INC
Active
Other names
The Medical Concierge
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA J STAFFELLI (DIRECTOR OF OPERATIONS)
(407) 648-5252
Entity
Organization
Contact information
Practice address
6000 TURKEY LAKE RD STE 208, ORLANDO, FL 32819-4206
(407) 648-5252
(407) 370-4126
Mailing address
6000 TURKEY LAKE RD STE 209, ORLANDO, FL 32819-4206
(407) 648-5252
(407) 370-4126
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/13/2019
Last updated
12/13/2019
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