Organization
ST. ANTHONY'S FAMILY MEDICAL PRACTICE M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MILDRED A. JIMENEZ (OWNER)
(407) 299-6160
Entity
Organization
Contact information
Practice address
1768 PARK CENTER DR, ORLANDO, FL 32861
(407) 299-6160
(407) 299-9141
Mailing address
1768 PARK CENTER DR, SUITE 200, ORLANDO, FL 32835-6200
(407) 299-6160
(407) 299-9141
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME70004
FL
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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