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Individual

ANTONIO IMBARLINA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
100 W GORE ST, ORLANDO, FL 32806-1044
(321) 842-6671
(321) 843-6521
Mailing address
100 W GORE ST, ORLANDO, FL 32806-1044
(321) 842-6671
(321) 843-6521

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
OS022094
PA
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
OS21559
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
124674900
FL
Enumeration date
05/04/2016
Last updated
12/30/2024
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