Organization
FAMILY MEDICINE & CLINICAL RESEARCH OF CENTRAL FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS GEORGE GAY II PA-C (PRESIDENT / CEO)
(407) 451-1849
Entity
Organization
Contact information
Practice address
1603 S HIAWASSEE RD, SUITE 115, ORLANDO, FL 32835-6438
(407) 299-6700
(407) 299-2265
Mailing address
1603 S HIAWASSEE RD, SUITE 115, ORLANDO, FL 32835-6438
(407) 299-6700
(407) 299-2265
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
PA9102434
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
173000000X
PRIMARY TAXONOMY
FL
Enumeration date
10/21/2007
Last updated
07/24/2008
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