Individual
DR. VICTOR LUIS MODESTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7806 LAKE UNDERHILL RD, SUITE 106, ORLANDO, FL 32822-8232
(407) 273-2525
(407) 273-2624
Mailing address
7806 LAKE UNDERHILL RD, SUITE 106, ORLANDO, FL 32822-8232
(407) 273-2525
(407) 273-2624
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
ME82323
FL
Other
Enumeration date
05/04/2006
Last updated
12/11/2007
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