Organization
BUENO CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY J MALDONADO PHARMD (CEO)
(321) 285-9907
Entity
Organization
Contact information
Practice address
2921 S ORLANDO DR STE 130, SANFORD, FL 32773-4106
(321) 285-9907
Mailing address
2921 S ORLANDO DR STE 130, SANFORD, FL 32773-4106
(321) 285-9907
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
3336C0002X
Clinic Pharmacy
—
—
Other
Enumeration date
05/23/2025
Last updated
08/13/2025
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