Organization
ORANGE DOC FAMILY MEDICINE,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADOLFO ENRIQUE TERAN M.D. (MEDICAL DIRECTOR)
(305) 804-5575
Entity
Organization
Contact information
Practice address
835 7TH ST, SUITE 5, CLERMONT, FL 34711-2190
(305) 804-5575
Mailing address
PO BOX 120325, CLERMONT, FL 34712-0325
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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