Organization
ORLANDO PHYSICIAN SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES WITTEN MD (DIRECTOR)
(407) 303-7869
Entity
Organization
Contact information
Practice address
2250 BEDFORD RD, ORLANDO, FL 32803-1443
(407) 303-7869
Mailing address
1561 W FAIRBANKS AVE, WINTER PARK, FL 32789-4678
(407) 332-7700
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME92559
FL
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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