MEDICARE: MR. ORLANDO S RANGEL M.D. P.A.

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
1	208D00000X	General Practice Physician	ME82760	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1942379466
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ORLANDO S RANGEL M.D. P.A.

Provider Business Mailing Address
First Line	:	4160 N ARMENIA AVE STE A
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-6453
Country	:	US
Telephone Number	:	813-673-8245
Fax Number	:	813-673-8640

Provider Business Practice Location Address
First Line	:	4160 N ARMENIA AVE
Second Line	:	STE A
City	:	TAMPA
State	:	FL
Zip	:	33607-6453
Country	:	US
Telephone Number	:	813-673-8245
Fax Number	:	813-673-8640

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	10/28/2010

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Directions to “ MR. ORLANDO S RANGEL M.D. P.A.” Practice Location

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