Organization
FLORIDA INJURY EAST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANICIA O VICENTE (DIRECTOR OF BILLING)
(407) 367-5160
Entity
Organization
Contact information
Practice address
10967 LAKE UNDERHILL ROAD, SUITE 120, ORLANDO, FL 32825
(407) 367-3040
(407) 367-3043
Mailing address
6220 S. ORANGE BLOSSOM TRAIL, SUITE 197, ORLANDO, FL 32809
(407) 367-5160
(407) 367-5175
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
HCC8601
FL
Other
Enumeration date
10/01/2010
Last updated
10/01/2010
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