Organization
LOU HAROLD MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOU HAROLD MD (PRESIDENT)
(407) 839-3700
Entity
Organization
Contact information
Practice address
1173 BLACKWOOD AVE, OCOEE, FL 34761-4518
(407) 839-3700
(407) 839-0640
Mailing address
1173 BLACKWOOD AVE, OCOEE, FL 34761-4518
(407) 839-3700
(407) 839-0640
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME047257
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049923400
—
FL
Enumeration date
03/19/2018
Last updated
03/23/2020
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