Organization
SILVER STAR FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VILMARY VAZQUEZ NCMA (CREDENTIALING AGENT)
(407) 656-7866
Entity
Organization
Contact information
Practice address
1202 E SILVER STAR RD, OCOEE, FL 34761-2460
(407) 656-7866
(407) 656-3032
Mailing address
1202 E SILVER STAR RD, OCOEE, FL 34761-2460
(407) 656-7866
(407) 656-3032
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
30010964034
FL
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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