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Individual

JOHN T. PROMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
77 W UNDERWOOD ST, SUITE 200, ORLANDO, FL 32806-1122
(407) 649-6884
(407) 245-7059
Mailing address
77 W UNDERWOOD ST, 2ND FLOOR, ORLANDO, FL 32806-1122
(407) 649-6884
(407) 245-7059

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME83443
FL
2086S0102X
Surgical Critical Care Physician
Primary
ME83443
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
264051100
FL
Enumeration date
01/23/2006
Last updated
12/15/2021
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