NPI Provider: 1043209877
Contact Name: Clubb L Nancy
Position: VP Admin
Phone: (407) 563-2860
Quality Assured Services Information:
Quality Assured Services organization have npi 1043209877, taxonomy code is 332B00000X with license number is 1102 in . This Business address located in 70 S Keller Rd, Orlando, FL 32810 Florida.
Practice Location
Address: 70 S Keller Rd, Orlando, FL 32810
Phone: (407) 563-2860
Business Location
Address: 70 S Keller Rd, Orlando, FL 32810
Phone: (407) 563-2860
Fax: (407) 563-2858
Taxonomy
Taxonomy Code: 332B00000X
License Number: 1102
License Number of State: FL
Primary Taxonomy Switch: Y
Enumeration Date: 10/14/2005
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