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Organization
MAGIC MEDICAL GROUP INC.
Active
Organization
MAGIC MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY DE JESUS ADMINISTRATOR (PRESIDENT)
(786) 518-1911
Entity
Organization
Contact information
Practice address
9421 S ORANGE BLOSSOM TRL STE 19, ORLANDO, FL 32837-8320
(407) 601-2527
(407) 674-7640
Mailing address
9421 S ORANGE BLOSSOM TRL STE 19, ORLANDO, FL 32837-8320
(407) 601-2527
(407) 674-7640
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
02/26/2019
Last updated
07/14/2020
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