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Organization

MEDI WINTER PARK LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER TRACY (PRESIDENT)
(407) 256-5119
Entity
Organization

Contact information

Practice address
1234 W FAIRBANKS AVE, WINTER PARK, FL 32789-4890
(407) 673-5555
Mailing address
1234 W FAIRBANKS AVE, WINTER PARK, FL 32789-4890
(407) 673-5555

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
01/20/2014
Last updated
06/02/2016
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