Organization
ADVANCED BODY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OSWALDO PEREZ (CEO)
(407) 856-0076
Entity
Organization
Contact information
Practice address
12701 S JOHN YOUNG PKWY, SUITE 107, ORLANDO, FL 32837-3420
(407) 856-0076
(407) 856-0751
Mailing address
12701 S JOHN YOUNG PKWY, SUITE 107, ORLANDO, FL 32837-3420
(407) 856-0076
(407) 856-0751
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
FL
171100000X
Acupuncturist
—
FL
207R00000X
Internal Medicine Physician
—
FL
225700000X
Massage Therapist
—
FL
Other
Enumeration date
05/16/2007
Last updated
10/20/2008
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