Organization
MFM OF CENTRAL FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZ RODRIGUEZ (OFFICE MANAGER)
(407) 518-1074
Entity
Organization
Contact information
Practice address
407 N MAIN ST, KISSIMMEE, FL 34744-5260
(407) 279-5909
(407) 279-5910
Mailing address
1160 CYPRESS GLEN CIR, KISSIMMEE, FL 34741-7560
(407) 518-1074
(407) 518-9056
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
ME130015
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020213700
—
FL
Enumeration date
06/27/2017
Last updated
06/27/2017
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