Organization
FLORIDA OMM GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK APPLEGATE DO (PHYSICIAN OWNER)
(407) 341-2854
Entity
Organization
Contact information
Practice address
826 W LYMAN AVE, WINTER PARK, FL 32789-4132
(407) 341-2854
Mailing address
826 W LYMAN AVE, WINTER PARK, FL 32789-4132
(407) 341-2854
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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