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Individual

DR. CASSIA BRASIL PORTUGAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.,FAAP

Contact information

Practice address
1651 N SEMORAN BLVD, ORLANDO, FL 32807-3575
(407) 249-1234
(407) 249-1755
Mailing address
1651 N SEMORAN BLVD, ORLANDO, FL 32807-3575
(407) 249-1234
(407) 249-1755

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME075067
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
253630700
FL
Enumeration date
07/05/2005
Last updated
09/15/2011
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