Organization
PARKINSONS & MOVEMENT DISORDERS CLINIC OF ORLANDO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL ALEX GONZALEZ M.D. (PRESIDENT)
(407) 903-9360
Entity
Organization
Contact information
Practice address
106 BOSTON AVE, SUITE 204, ALTAMONTE SPRINGS, FL 32701-4731
(407) 723-7172
(407) 423-9505
Mailing address
106 BOSTON AVE, SUITE 204, ALTAMONTE SPRINGS, FL 32701-4731
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME97148
FL
Other
Enumeration date
05/28/2014
Last updated
07/15/2014
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