Individual provider · Type 1 NPI

Connie Proskovec, DO

General Practice Physician · Orlando, FL

NPI number 1205863131 Active

Practice location

11715 Orpington St Ste A, Tlc Pediatric And Adolescent Medicine In Assoc With Nem
Orlando, FL 32817-4600

Fax (302) 651-4945

Mailing address

PO Box 191, Provider Enrollment Department
Rockland, DE 19732-0191

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000X3212 (OK)
General Practice Physician Primary 208D00000XOS12811 (FL)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1205863131

Connie Proskovec, DO's National Provider Identifier is 1205863131, issued on Jun 27, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Orlando, FL. The record was last updated on May 13, 2015.