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Organization

ACTIVE LIVING MEDICAL CENTER

Active
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Organization

ACTIVE LIVING MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JODI L JAKIEL (OWNER)
(407) 384-4904
Entity
Organization

Contact information

Practice address
8257 NARCOOSSEE PARK DR STE 516, ORLANDO, FL 32822-5545
(407) 384-4904
Mailing address
8257 NARCOOSSEE PARK DR STE 516, ORLANDO, FL 32822-5545
(407) 616-6279

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Enumeration date
06/22/2021
Last updated
06/24/2021
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