G BROCK MAGRUDER JR MD PA
Medical Practice at Par St, Orlando, FL

License number
Florida ME56293
Category
Medical Practice
Type
Ophthalmology
Owner
Name: DR. GEORGE B. MAGRUDER II M.D.
Title: MEDICAL DIRECTOR
Phone: (407) 843-5665
Address
Address
120 E Par St SUITE 2000, Orlando, FL 32804
National Provider ID: 1013214261
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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G. Brock Magruder, Jr., M.D.

Orlando, FL

Industry:
Offices and Clinics of Medical Doctors, Nsk
Doing business as:
G. Brock Magruder, Jr., M.D., PA
Registration:
Nov 8, 1999
Addresses:
120 E Par St, Orlando, FL 32804
121 W Underwood St, Orlando, FL 32806
State ID:
P99000097936
Business type:
Domestic for Profit Corporation
Directors:
G. B. Magruder (Medical Director, Medical Doctor, Principal, Director),Brian P. Den Beste Director, inactive
Agent:
G. Brock Magruder

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