Organization
ATIENZA PHYSICIAN SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON TIA ATIENZA MD (OWNER)
(209) 566-3292
Entity
Organization
Contact information
Practice address
1820 E SILVER STAR RD, OCOEE, FL 34761-7016
(469) 713-1145
Mailing address
405 MICKLETON LOOP, OCOEE, FL 34761-5661
(209) 566-3292
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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