Park Ave Medical Group | |
424 N Park Ave Apopka FL 32712-4152 | |
(407) 886-0611 | |
(407) 886-2817 |
Full Name | Park Ave Medical Group |
---|---|
Speciality | General Practice |
Location | 424 N Park Ave, Apopka, Florida |
Authorized Official Name and Position | Adlai Steven Green (BOSS) |
Authorized Official Contact | 4078860611 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Park Ave Medical Group 424 N Park Ave Apopka FL 32712-4152 Ph: (407) 886-0611 | Park Ave Medical Group 424 N Park Ave Apopka FL 32712-4152 Ph: (407) 886-0611 |
NPI Number | 1326308719 |
---|---|
Provider Enumeration Date | 05/21/2012 |
Last Update Date | 05/21/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326308719 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
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