Organization
OBT FAMILY MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLESA PIERRE (OWNER)
(407) 230-2108
Entity
Organization
Contact information
Practice address
9480 S ORANGE BLOSSOM TRL, ORLANDO, FL 32837-8321
(407) 230-2108
Mailing address
10450 TURKEY LAKE RD, UNIT 691483, ORLANDO, FL 32869-7501
(407) 230-2108
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/09/2015
Last updated
12/13/2015
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