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Individual

ANNAMARIA T CHURCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 975-0412
(407) 975-0413
Mailing address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 975-0412
(407) 975-0413

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301044151
MI
208000000X
Pediatrics Physician
44006
TN
208000000X
Pediatrics Physician
Primary
ME100100
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1509336
TN
05
4485527
MI
Enumeration date
01/19/2006
Last updated
12/06/2018
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