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Individual

MR. MICHAEL JOHN HOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPO/LPO

Contact information

Practice address
1731 S ORANGE AVE, ORLANDO, FL 32806-2935
(407) 781-2360
(407) 781-2362
Mailing address
1731 S ORANGE AVE, ORLANDO, FL 32806-2935
(407) 781-2360
(407) 781-2362

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
CPO02315
FL
224P00000X
Prosthetist
Primary
CPO02315
FL

Other

Enumeration date
10/02/2006
Last updated
06/03/2015
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