Individual
LOU C HAROLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1173 BLACKWOOD AVE, OCOEE, FL 34761-4518
(407) 839-3700
(407) 839-0640
Mailing address
1173 BLACKWOOD AVE, OCOEE, FL 34761-4518
(407) 839-3700
(407) 839-0640
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME47297
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049923400
—
FL
01
—
208600000X
TAXONOMY
FL
Enumeration date
07/05/2006
Last updated
04/23/2021
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