Organization
CLEMENT CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANANT VINJAMOORI MD (PRESIDENT)
(415) 409-9339
Entity
Organization
Contact information
Practice address
1317 EDGEWATER DR # 2468, ORLANDO, FL 32804-6350
(415) 409-9339
Mailing address
1317 EDGEWATER DR # 2468, ORLANDO, FL 32804-6350
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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