Organization
FAMILY HEALTH CLINIC USA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS A ORTIZ MD (MEDICAL DIRECTOR)
(407) 512-6608
Entity
Organization
Contact information
Practice address
323 W OAK ST, SUITE A, KISSIMMEE, FL 34741-4421
(407) 512-6608
Mailing address
323 W OAK ST, SUITE A, KISSIMMEE, FL 34741-4421
(407) 512-6608
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ACN412
FL
Other
Enumeration date
11/07/2014
Last updated
11/07/2014
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