NPI 1205244522

Rae Daniel

Organisation Preferred Provider Organization Orlando, FL

Practice location

Address: 5621 Lake Mary Jess Shores CT, Orlando, FL 32839-2992
Phone: (407) 580-0333

Authorised official

Name: Rae Daniel
Title: Owner
Phone: (407) 580-0333

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1205244522
Entity type: Organization
NPI issued: 30 Jul 2014
Record last updated: 30 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.