# BUENO CLINIC

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

## Provider details

- **NPI number:** 1801689898
- **Authorized official:** ANTHONY J MALDONADO PHARMD (CEO)
- **Authorized official phone:** (321) 285-9907

## Contact information

- **Practice address:** 2921 S ORLANDO DR STE 130, SANFORD, FL 32773-4106
- **Practice address phone:** (321) 285-9907
- **Mailing address:** 2921 S ORLANDO DR STE 130, SANFORD, FL 32773-4106
- **Mailing address phone:** (321) 285-9907

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 05/23/2025
- **Last updated:** 08/13/2025