Organization
CENTER FOR INDIVIDUALIZED MEDICINE AND AGE MANAGEMENT, INC
Active
Other names
CIMA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILDRED DONIS-RIVERA MD (OSNER/PRESIDENT)
(407) 273-7399
Entity
Organization
Contact information
Practice address
11616 LAKE UNDERHILL RD, STE 205, ORLANDO, FL 32825-4463
(407) 273-7399
(407) 273-1928
Mailing address
11616 LAKE UNDERHILL RD, STE 205, ORLANDO, FL 32825-4463
(407) 273-7399
(407) 273-1928
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME55637
FL
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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