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Organization

WOMEN'S HEALTHCARE OF ORLANDO, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. INGRID PATRICIA DUNN M.D. (SOLO PRACTITIONER)
(407) 453-2072
Entity
Organization

Contact information

Practice address
3701 AVALON PARK WEST BLVD, SUITE 230, ORLANDO, FL 32828-7303
(407) 453-2072
Mailing address
PO BOX 781444, ORLANDO, FL 32878-1444
(407) 453-2072

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME 104799
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001933000
GROUP MEDICAID NUMBER
FL
01
002284400
INDIVIDUAL MEDICAID NUMBER
FL
01
1073735270
INDIVIDUAL PROVIDER NPI
FL
01
CX948Z
ASSOCIATED INDIVIDUAL MEDICARE NUMBER
FL
01
GROUP CX949A
GROUP MEDICARE NUMBER
FL
Enumeration date
02/22/2010
Last updated
11/03/2010
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