Organization
KENT CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ZAHRA KENT (OFFICE MANAGER)
(407) 704-8990
Entity
Organization
Contact information
Practice address
2116 S ORANGE AVE, SUITE B, ORLANDO, FL 32806-3037
(407) 704-8990
Mailing address
2116 S ORANGE AVE, SUITE B, ORLANDO, FL 32806-3037
(407) 704-8990
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
OS12315
FL
332B00000X
Durable Medical Equipment & Medical Supplies
7198550001
FL
Other
Enumeration date
04/01/2014
Last updated
02/19/2015
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