Organization
PHYSICIANS MEDICAL AND INJURY GROUP EAST ORLANDO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM FREDERICK VON BARGEN JR. D.O. (OWNER)
(407) 450-6991
Entity
Organization
Contact information
Practice address
7163 UNIVERSITY BLVD, WINTER PARK, FL 32792-6724
(321) 441-4944
(407) 636-8749
Mailing address
7163 UNIVERSITY BLVD, WINTER PARK, FL 32792-6724
(321) 441-4944
(407) 636-8749
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH10928
FL
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
OS9286
FL
261QP2300X
Primary Care Clinic/Center
Primary
OS9286
FL
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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