Healthcare Provider Details

I. General information

NPI: 1760589923
Provider Name (Legal Business Name): ORLANDO LLORENTE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 08/12/2024
Certification Date: 08/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2645 SW 37TH AVE STE 603
MIAMI FL
33133-2745
US

IV. Provider business mailing address

2645 SW 37TH AVE STE 603
MIAMI FL
33133-2745
US

V. Phone/Fax

Practice location:
  • Phone: 305-712-2809
  • Fax: 305-397-1487
Mailing address:
  • Phone: 305-712-2809
  • Fax: 305-397-1487

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberME99849
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: