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Organization
I CORI BAILL MD PA
Active
Organization
I CORI BAILL MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
I CORI BAILL MD (PRESIDENT)
(407) 898-8990
Entity
Organization
Contact information
Practice address
2702 N ORANGE AVE, STE A, ORLANDO, FL 32804-4624
(407) 898-8990
(407) 895-4987
Mailing address
2702 N ORANGE AVE, STE A, ORLANDO, FL 32804-4624
(407) 898-8990
(407) 895-4987
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME61484
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18222
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/08/2006
Last updated
04/08/2011
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