Organization
GOOD SHEPHERD PRIMARY CARE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIBEL AVILES MD (PRESIDENT)
(407) 282-4142
Entity
Organization
Contact information
Practice address
1170 S SEMORAN BLVD, SUITE D, ORLANDO, FL 32807-1458
(407) 282-4142
(407) 282-7475
Mailing address
1170 S SEMORAN BLVD, SUITE D, ORLANDO, FL 32807-1458
(407) 282-4142
(407) 282-7475
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0066465
FL
Other
Enumeration date
06/01/2007
Last updated
07/18/2007
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