Healthcare Provider Details

I. General information

NPI: 1700076437
Provider Name (Legal Business Name): ORLANDO A CEDENO D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: ORLANDO ALFREDO FRANCIS-CEDENO JR. D.P.M.

II. Dates (important events)

Enumeration Date: 07/30/2007
Last Update Date: 10/19/2021
Certification Date: 09/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4601 MILITARY TRL STE 202
JUPITER FL
33458-4835
US

IV. Provider business mailing address

4601 MILITARY TRL STE 202
JUPITER FL
33458-4835
US

V. Phone/Fax

Practice location:
  • Phone: 561-624-4800
  • Fax: 561-624-5206
Mailing address:
  • Phone: 561-624-4800
  • Fax: 561-624-5206

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213EP0504X
TaxonomyPublic Medicine Podiatrist
License Number0103301053
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number0103301053
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License NumberPO3982
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: