Organization
APOPKA MEDICAL GROUP PA
Active
Other names
Apopka Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. INGRID BEHNER (OFFICE MANAGER)
(407) 886-1171
Entity
Organization
Contact information
Practice address
125 S PARK AVE, APOPKA, FL 32703-4254
(407) 886-1171
(407) 886-8386
Mailing address
PO BOX 1107, APOPKA, FL 32704-1107
(407) 886-1171
(407) 886-8386
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
ME0055219
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037621300
—
FL
Enumeration date
07/04/2006
Last updated
09/23/2008
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