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NPI Code Detail

MEDICARE: CENTRAL FLORIDA PEDIATRICS INTENSIVE CARE SPEC

MEDICARE: CENTRAL FLORIDA PEDIATRICS INTENSIVE CARE SPEC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080P0203XPediatric Critical Care Medicine PhysicianME73889FL

General Provider Information

NPI Number : 1184711442
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTRAL FLORIDA PEDIATRICS INTENSIVE CARE SPEC
Provider Business Mailing Address
First Line : 1349 BALLENTYNE PL
Second Line :
City : APOPKA
State : FL
Zip : 32703-6870
Country : US
Telephone Number : 407-894-8768
Fax Number : 407-894-6872
Provider Business Practice Location Address
First Line : 844 N THORNTON AVE
Second Line :
City : ORLANDO
State : FL
Zip : 32803-4003
Country : US
Telephone Number : 407-894-8768
Fax Number : 407-894-6872
Authorized Official
Title or Position : PHYSICIAN
Name : DR. OLUDAPO F SOREMI
Credential : MD
Telephone Number : 407-894-8768
Provider Enumeration Date : 10/06/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

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Practice Location Address:
844 N THORNTON AVE
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32803-4003
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1073510608 — MARK J SIGMAN MD
Practice Location Address:
844 N THORNTON AVE
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1316933799 — CENTRAL FLORIDA PEDIATRIC INTENSVIE CARE SPECIALIST
Practice Location Address:
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Practice Fax:
1700866035 — DR. LEWIS WASSERMAN MD
Practice Location Address:
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32803-4003
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Practice Fax:
1952516742 — JAQUELINE MARIETTE FREYRE-CUBANO MD
Practice Location Address:
844 N THORNTON AVE
ORLANDO, FL
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Practice Fax: 407-398-6872
1235430034 — PROF. WHITNEY HANNA BALMERT PA
Practice Location Address:
844 N THORNTON AVE
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Practice Fax: 407-894-6872

Directions to “CENTRAL FLORIDA PEDIATRICS INTENSIVE CARE SPEC ” Practice Location

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