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Brenda Deforrest Od Pa
Clinic/Center in Orlando, Florida
NPI 1477733780

Brenda Deforrest Od Pa is a Clinic/Center based in Orlando, FL. Brenda Deforrest Od Pa practices in Orlando, FL. The NPI Number for Brenda Deforrest Od Pa is 1477733780 and holds a License No. FL2617 (Florida).

The current practice location address for Brenda Deforrest Od Pa is 4884 S Kirkman Rd, Orlando, FL and can be reached out via phone at 407-289-8819.

Location: 4884 S Kirkman Rd, Orlando, FL, 32811-3641
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477733780
Provider Name
Brenda Deforrest Od Pa
Credential
Provider Entity Type
Organization
Address
4884 S Kirkman Rd, Orlando, FL, 32811-3641
Phone Number
407-289-8819
Fax Number
Provider Enumeration Date
11/05/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4884 S Kirkman Rd
City
Orlando
State
Florida
Zip
32811-3641
Phone Number
407-289-8819
Fax Number
person
Provider Business Mailing Address Details
Address
4884 S Kirkman Rd
City
Orlando
State
Florida
Zip
32811-3641
Phone Number
407-289-8819
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
FL2617 (Florida)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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