| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1962414342 | BACK | MARTIN | PO BOX 917770 | ORLANDO | FL | 328917770 | ||
| 1649488099 | MOUDGILL | NEIL | PO BOX 917770 | ORLANDO | FL | 328917770 | ||
| 1225040330 | SHAMES | MURRAY | L | PO BOX 917770 | ORLANDO | FL | 328910001 |