Organization
LIFELINE INJURY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALBERT E FORD M.D (OWNER)
(813) 494-7277
Entity
Organization
Contact information
Practice address
672 N SEMORAN BLVD STE 101, ORLANDO, FL 32807-3367
(407) 658-0306
Mailing address
672 N SEMORAN BLVD STE 101, ORLANDO, FL 32807-3367
(407) 658-0306
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
0S1653
FL
Other
Enumeration date
03/21/2013
Last updated
03/21/2013
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