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Organization

I CORI BAILL MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
I CORI BAILL MD (PRESIDENT)
(407) 898-8990
Entity
Organization

Contact information

Practice address
2702 N ORANGE AVE, STE A, ORLANDO, FL 32804-4624
(407) 898-8990
(407) 895-4987
Mailing address
2702 N ORANGE AVE, STE A, ORLANDO, FL 32804-4624
(407) 898-8990
(407) 895-4987

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME61484
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18222
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/08/2006
Last updated
04/08/2011
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