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Organization

FSF ORLANDO MSO, LLC

Active
Other names
FSF Orlando MSO, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHANA SIMPSON (VP OF OPERATIONS)
(407) 704-1150
Entity
Organization

Contact information

Practice address
3361 ROUSE RD STE 205, ORLANDO, FL 32817-2137
(407) 704-1150
(407) 286-6206
Mailing address
3361 ROUSE RD STE 205, ORLANDO, FL 32817-2137
(407) 704-1150
(407) 286-6206

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary

Other

Enumeration date
01/28/2022
Last updated
01/28/2022
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