Organization
OMNI-CARE MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OWEN DELROY FRASER M.D. (OWNER)
(407) 578-9142
Entity
Organization
Contact information
Practice address
2511 W CHURCH ST, ORLANDO, FL 32805-2329
(407) 578-9142
(407) 297-8420
Mailing address
2511 W CHURCH ST, ORLANDO, FL 32805-2329
(407) 578-9142
(407) 297-8420
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
ME30256
FL
261QM2500X
Medical Specialty Clinic/Center
Primary
ME30256
FL
Other
Enumeration date
03/20/2009
Last updated
03/20/2009
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