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Organization

DOCTORS AT HOME TRI COUNTY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAFAEL GONZALEZ (PRESIDENT)
(407) 421-8553
Entity
Organization

Contact information

Practice address
11954 NARCOOSSEE RD STE 2 #504, ORLANDO, FL 32832-6998
(800) 925-1840
(800) 521-9406
Mailing address
11954 NARCOOSSEE RD STE 2 #504, ORLANDO, FL 32832-6998
(800) 925-1840
(800) 521-9406

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
015701100
FL
01
ISUN3
BCBS
FL
Enumeration date
06/10/2014
Last updated
09/19/2022
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