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NPI Code Detail

MEDICARE: ORLANDO PEDIATRICS

MEDICARE: ORLANDO PEDIATRICS
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
1208000000XPediatrics PhysicianFL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740527142
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORLANDO PEDIATRICS
Provider Business Mailing Address
First Line : PO BOX 770458
Second Line :
City : ORLANDO
State : FL
Zip : 32877-0458
Country : US
Telephone Number : 407-361-5123
Fax Number :
Provider Business Practice Location Address
First Line : 800 N ROSE AVE
Second Line : SUITE 800
City : KISSIMMEE
State : FL
Zip : 34741-4944
Country : US
Telephone Number : 407-483-7925
Fax Number : 407-483-7924
Authorized Official
Title or Position : PHYSICAN
Name : SAMIER KHAZNADAR
Credential : MD
Telephone Number : 407-483-7925
Provider Enumeration Date : 01/07/2013
Last Update Date : 01/07/2013

Similar Medicare Providers

1174082002 — AVI LANDMAN MD
Practice Location Address:
810 N ROSE AVE
KISSIMMEE, FL
34741-4944
Practice Phone: 407-518-2751
Practice Fax: 407-518-3923
1154609485 — AYMAN ABDEL-SHAKOUR KAMEL AL-SALAIMEH M,D,
Practice Location Address:
810 N ROSE AVE
KISSIMMEE, FL
34741-4944
Practice Phone: 407-933-2231
Practice Fax: 407-933-2232
1023078557 — SAMER KHAZNADAR M.D.
Practice Location Address:
800 N ROSE AVE
KISSIMMEE, FL
34741-4944
Practice Phone: 407-483-7925
Practice Fax: 407-483-7924
1942456298 — JANICE CARRASQUILLO
Practice Location Address:
810 N ROSE AVE
KISSIMMEE, FL
34741-4944
Practice Phone: 407-343-6111
Practice Fax:
1497071047 — JOHN J MCGETRICK JR. M.D.
Practice Location Address:
810 N ROSE AVE
KISSIMMEE, FL
34741-4944
Practice Phone: 407-943-7100
Practice Fax: 407-943-7328
1265797138 — PREMIER VISUAL HEALTH, LLC
Practice Location Address:
810 N ROSE AVE
KISSIMMEE, FL
34741-4944
Practice Phone: 407-352-4044
Practice Fax: 407-352-4043

Directions to “ORLANDO PEDIATRICS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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