Organization
FAMILY MEDICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERARDO MENA (MANAGER)
(407) 601-6492
Entity
Organization
Contact information
Practice address
6512 CARRIER DR, ORLANDO, FL 32819-8200
(407) 601-6492
Mailing address
6512 CARRIER DR, ORLANDO, FL 32819-8200
(407) 601-6492
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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