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EAST COLONIAL FAMILY MEDICAL CENTER INC NPI 1144523531


NPI Information

NPI: 1144523531
Provider Name: EAST COLONIAL FAMILY MEDICAL CENTER, INC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 10D2016558

Address:
9464 E COLONIAL DR
ORLANDO, FL
ZIP 32817
Phone: (407) 482-9788
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EAST COLONIAL FAMILY MEDICAL CENTER, INC is a primary care clinic center in Orlando, FL. EAST COLONIAL FAMILY MEDICAL CENTER, INC NPI is 1144523531. The provider is registered as an organization entity type.

The provider's business location address is:

9464 E COLONIAL DR
ORLANDO, FL
ZIP 32817-150
Phone: (407) 482-9788
Fax: (407) 482-7998

The provider's authorized official is Thang C Pham .
The authorized official title is President and has the following contact phone number (407) 482-9788.

The CLIA number assigned to this NPI record is 10D2016558 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/7/2010 and was last updated on 10/31/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareME87463FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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