Organization
MD FAMILY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN ALBERTO GONZALEZ (CEO)
(407) 816-2999
Entity
Organization
Contact information
Practice address
12981 S ORANGE BLOSSOM TRL, ORLANDO, FL 32837-6592
(407) 816-2999
Mailing address
12981 S ORANGE BLOSSOM TRL, ORLANDO, FL 32837-6592
(407) 816-2999
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH24742
FL
Other
Enumeration date
07/19/2010
Last updated
07/19/2010
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