Organization
ORLANDO MSO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH J DI CAPUA (CEO)
(954) 318-6590
Entity
Organization
Contact information
Practice address
7800 WEST OAKLAND PARK BOULEVARD, SUITE E 214, SUNRISE, FL 33351-6741
(954) 318-6590
(954) 318-6599
Mailing address
7800 WEST OAKLAND PARK BOULEVARD, SUITE E 214, SUNRISE, FL 33351-6741
(954) 318-6590
(954) 318-6599
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
06/30/2011
Last updated
06/30/2011
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