Organization
CENTRAL FLORIDA PRIMARY CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLORENCIO ELLO MD (PRESIDENT)
(407) 380-1951
Entity
Organization
Contact information
Practice address
172 S SEMORAN BLVD, ORLANDO, FL 32807-3293
(407) 380-1951
(407) 380-1343
Mailing address
172 S SEMORAN BLVD, ORLANDO, FL 32807-3293
(407) 380-1951
(407) 380-1343
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/27/2007
Last updated
12/30/2008
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