Organization
FLORIDA MEDICAL
Active
Other names
Revolution Medical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT CARDER (PRESIDENT)
(407) 636-5391
Entity
Organization
Contact information
Practice address
711 N ORLANDO AVE, SUITE 203, MAITLAND, FL 32751-4403
(407) 636-5391
Mailing address
711 N ORLANDO AVE, SUITE 203, MAITLAND, FL 32751-4403
(407) 636-5391
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
OS4187
FL
Other
Enumeration date
04/08/2017
Last updated
04/08/2017
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