Organization
AFFINITY HEALTHCARE CENTER AT WATERFORD LAKES, P.L.
Active
Other names
Affinity Med Spa & Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ENRIQUE URRUTIA DO (OWNER)
(407) 381-4040
Entity
Organization
Contact information
Practice address
779 N ALAFAYA TRL, ORLANDO, FL 32828-7047
(407) 381-4040
Mailing address
779 N ALAFAYA TRL, ORLANDO, FL 32828-7047
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OS11175
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS11175
STATE LICENSE
FL
Enumeration date
07/26/2016
Last updated
09/21/2020
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