Organization
ORLANDO FREEDOM MEDICAL CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT R REPPY DO (OWNER/PROVIDER)
(407) 636-4100
Entity
Organization
Contact information
Practice address
331 N MAITLAND AVE STE D2, MAITLAND, FL 32751-4755
(407) 636-4100
(407) 636-4126
Mailing address
331 N MAITLAND AVE STE D2, MAITLAND, FL 32751-4755
(407) 636-4100
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
716944700
OWCP DEPARTMENT OF LABOR
—
Enumeration date
02/18/2021
Last updated
02/18/2021
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