Organization
KIDS-MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A AFANADOR PRESIDENT (OWNER)
(407) 722-1652
Entity
Organization
Contact information
Practice address
882 S KIRKMAN RD, SUITE 105, ORLANDO, FL 32811-2652
(407) 722-1652
(407) 286-0656
Mailing address
PO BOX 770485, ORLANDO, FL 32877-0485
(407) 722-1652
(407) 286-0656
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/16/2010
Last updated
02/16/2010
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