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OrganizationMedicare enrolled

Prairie Clinic Inc

Dermatology · Orlando, FL

Source: NPPES NPI RegistryFetched 2026-10-20

Public record

NPI
1000000874
Enumeration date
2022-06-02
Last updated
2025-12-11
Practice location
1201 Hospital Dr
Orlando, FL 32801
Taxonomies
Medicare
Enrolled