NPI 1467684878

Physiocare Medical & Wellness Center

Organisation Health Maintenance Organization Orlando, FL

Practice location

Address: 8204 Crystal Clear Ln Suite 1500, Orlando, FL 32809-7758
Phone: (407) 240-8884
Fax: (407) 240-8388

Authorised official

Name: Frederic J Freeman
Title: Medical Director
Phone: (407) 240-8884

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence HCC5023 (FL)

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Registry record

NPI: 1467684878
Entity type: Organization
NPI issued: 18 Aug 2009
Record last updated: 18 Aug 2009

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.