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JUAN GUILLERMO MADRID LOPERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
7975 LAKE UNDERHILL RD STE 345, ORLANDO, FL 32822-8209
(407) 303-8626
Mailing address
505 SAN MARIE AVE, ALTAMONTE SPRINGS, FL 32714-2228
(407) 754-5490

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT34845
FL

Other

Enumeration date
09/05/2019
Last updated
09/05/2019
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