Park Ave Medical Group

NPI #1326308719 in Apopka, Florida

Provider Information

NPI Number: 1326308719
Entity Type: Organization
Organization Name: Park Ave Medical Group
Subpart: Yes (part of a larger organization)
Parent Organization: APOPKA WELLNESS CENTER
Primary Specialty: General Practice
Enumeration Date: May 21, 2012
Last Updated: May 21, 2012

Practice Location

Address: 424 N PARK AVE
City: Apopka
State: Florida
ZIP Code: 32712-4152
Phone: (407) 886-0611

Authorized Official

Name: DR. ADLAI STEVEN GREEN, DC
Title: BOSS
Phone: (407) 886-0611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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