Healthcare Provider Details
I. General information
NPI: 1053404350
Provider Name (Legal Business Name): CARL EDWARD ORRINGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/02/2006
Last Update Date: 01/25/2024
Certification Date: 01/25/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
399 9TH ST N STE 300
NAPLES FL
34102-5820
US
IV. Provider business mailing address
1400 NW 12TH AVE
MIAMI FL
33136-1003
US
V. Phone/Fax
- Phone: 239-624-4200
- Fax: 239-624-4241
- Phone: 305-585-5523
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| License Number | ME 118664 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: