University of Central Florida

NPI #1689877748 in Orlando, Florida

Provider Information

NPI Number: 1689877748
Entity Type: Organization
Organization Name: University of Central Florida
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jun 7, 2007
Last Updated: Apr 19, 2023

Practice Location

Address: 4098 LIBRA DR
City: Orlando
State: Florida
ZIP Code: 32816-3333
Phone: (407) 823-6000

Authorized Official

Name: MR. MICHAEL G DEICHEN, M.D.
Title: DIRECTOR
Phone: (407) 823-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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