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Organization

EDNEM MEDICAL SERVICES, PA

Active
Other names
EDNEM FAMILY MEDICINE CLINIC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EDSEL JERONIMO COMENENCIA M.D. (PHYSICIAN)
(407) 482-2221
Entity
Organization

Contact information

Practice address
7148 CURRY FORD RD STE 100, ORLANDO, FL 32822-5803
(407) 482-2221
(407) 482-2284
Mailing address
7148 CURRY FORD RD STE 100, ORLANDO, FL 32822-5803
(407) 482-2221
(407) 482-2284

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
266610300
FL
Enumeration date
02/05/2007
Last updated
12/04/2009
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