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Organization

MULTIPATH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANDREW RUSSO (MANAGER)
(321) 444-7998
Entity
Organization

Contact information

Practice address
334 E HARVARD ST, ORLANDO, FL 32804-5550
(321) 444-7998
Mailing address
51 E JEFFERSON ST UNIT 1553, ORLANDO, FL 32802-7565

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
02/02/2019
Last updated
02/02/2019
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