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Organization
MI DOCTOR LLC
Active
Organization
MI DOCTOR LLC
Active
Other names
MI DOCTOR
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR VALLADARES PA-C (PHYSICIAN ASSISTANT.)
(682) 718-9683
Entity
Organization
Contact information
Practice address
4611 CUMBRIAN LAKES DR, KISSIMMEE, FL 34746-6717
(682) 718-9683
Mailing address
4611 CUMBRIAN LAKES DR, KISSIMMEE, FL 34746-6717
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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