Organization
ORLANDO PHYSICIAN SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES WITTEN MD (DIRECTOR)
(321) 275-0333
Entity
Organization
Contact information
Practice address
5579 S ORANGE AVE, EDGEWOOD, FL 32809-3493
(407) 241-4800
Mailing address
1561 W FAIRBANKS AVE, SUITE 100, WINTER PARK, FL 32789-4678
(321) 275-0333
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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