Organization
EAST ORLANDO FAMILY MEDICINE ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD C MALLONEE D.O. (PRESIDENT)
(407) 249-3077
Entity
Organization
Contact information
Practice address
12301 LAKE UNDERHILL RD, SUITE 219, ORLANDO, FL 32828-4508
(407) 249-3077
(407) 249-3017
Mailing address
PO BOX 781789, ORLANDO, FL 32878-1789
(407) 249-3077
(407) 249-3017
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS5964
FL
Other
Enumeration date
07/02/2006
Last updated
04/14/2009
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