NPI:
1205404761
Provider Name:
NEMOURS CHILDREN'S HEALTH, WATERFORD LAKES, SPECIALTY CARE
Doing Business As: NEMOURS CHILDREN'S HEALTH, WATERFORD LAKES, SPECIALTY CARE
Classification:
Clinic/Center - 261QM1300X
Entity Type:
Organization
Specialization: Multi-Specialty
CLIA Number: 10D1011597
Address:
651 N ALAFAYA TRL
ORLANDO, FL
ZIP 32828
Phone:
(407) 650-7715
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NEMOURS CHILDREN'S HEALTH, WATERFORD LAKES, SPECIALTY CARE is a multi-specialty clinic center in Orlando, FL. NEMOURS CHILDREN'S HEALTH, WATERFORD LAKES, SPECIALTY CARE NPI is 1205404761. The provider is registered as an organization entity type.
The provider Is Doing Business As Nemours Children's Health, Waterford Lakes, Specialty Care.
The provider's business location address is:
651 N ALAFAYA TRL
ORLANDO, FL
ZIP 32828-045
Phone: (407) 650-7715
The provider's authorized official is Rodney Aaron Mckendree .
The authorized official title is Vp, Finance and has the following contact phone number (904) 697-5648.
The CLIA number assigned to this NPI record is 10D1011597 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/11/2021 and was last updated on 6/22/2021.