Laurel Oaks Family Practice of Central Florida PA

NPI #1346567484 in Ocoee, Florida

Provider Information

NPI Number: 1346567484
Entity Type: Organization
Organization Name: Laurel Oaks Family Practice of Central Florida PA
Primary Specialty: Family Medicine
Enumeration Date: Apr 29, 2010
Last Updated: Apr 29, 2010

Practice Location

Address: 2711 MAGUIRE RD
City: Ocoee
State: Florida
ZIP Code: 34761-4797
Phone: (407) 877-1990

Authorized Official

Name: DR. JAMES BRADLEY WILSON JR., D.O.
Title: PRESIDENT
Phone: (407) 877-1990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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