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Organization

CENTRAL FLORIDA WOUND AND SKIN CONSULTANTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RITA LARACUENTE MD (VICE PRESIDENT)
(407) 359-6426
Entity
Organization

Contact information

Practice address
14325 BENDING BRANCH CT, ORLANDO, FL 32824-6346
(407) 359-6426
(407) 359-6426
Mailing address
PO BOX 607521, ORLANDO, FL 32860-7521
(407) 359-6426
(407) 359-6426

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
70410
ZZ

Other

Enumeration date
02/25/2009
Last updated
02/25/2009
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