Organization
ON SITE MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA IRENE COTTER (PRESIDENT)
(407) 893-7055
Entity
Organization
Contact information
Practice address
813 E MICHIGAN ST, ORLANDO, FL 32806-4625
(407) 893-7055
(866) 404-8703
Mailing address
813 E MICHIGAN ST, ORLANDO, FL 32806-4625
(407) 893-7055
(866) 404-8703
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
65193 CLIA
FL
Other
Enumeration date
07/20/2006
Last updated
08/27/2009
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