Organization
ADVANCE NEUROPATHY INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA WAGENER (PRACTICE ADMINISTRATOR)
(407) 624-2844
Entity
Organization
Contact information
Practice address
3027 ALOMA AVE, WINTER PARK, FL 32792-3702
(406) 813-4784
Mailing address
10450 TURKEY LAKE RD UNIT 691232, ORLANDO, FL 32869-7559
(407) 624-2844
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/22/2023
Last updated
11/20/2023
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