CENTER FOR INDIVIDUALIZED MEDICINE AND AGE MANAGEMENT, INC
Marriage and Family Therapists at Lake Underhill Rd, Orlando, FL

License number
Florida ME55637
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. MILDRED DONIS-RIVERA MD
Title: OSNER/PRESIDENT
Phone: (407) 273-7399
Address
Address
11616 Lake Underhill Rd STE 205, Orlando, FL 32825
National Provider ID: 1447689203
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Center for Individualized Medicine and Age Management, Inc

11616 Lk Underhill Rd, Orlando, FL 32825

Industry:
Management Services
Registration:
Nov 16, 2012
State ID:
P12000095487
Business type:
Domestic for Profit Corporation
President:
Mildred M Donis Rivera (President)

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