Waterford Park Family Medicine
Waterford Park Family Medicine provides Family Medicine Physician services in Orlando, Florida. Licensed in Florida. Registered with an NPI since 2008.
- Licensed in
- FL
- In the registry since
- 2008
Practice location Address checks out
12301 Lake Underhill Rd Ste 219Orlando, FL 32828-4508 Not confirmed with CMS for 17 years — call before visiting
Phone: (407) 249-3077
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence OS6833 (FL) |
|---|
Record details
| NPI number | 1922271261 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ronlald Mallonee — Owner · (407) 249-3077 |
| NPI enumerated | April 8, 2008 |
| Last updated in NPPES | October 23, 2008 |
| Mailing address | Po Box 781789, Orlando, FL 32878-1789 |
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