Healthcare Provider Details
I. General information
NPI: 1639818537
Provider Name (Legal Business Name): WEST ORLANDO HOSPITALISTS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/31/2022
Last Update Date: 03/27/2023
Certification Date: 03/27/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1551 BOREN DR STE B
OCOEE FL
34761-2966
US
IV. Provider business mailing address
9280 GRAND ISLAND WAY
WINTER GARDEN FL
34787-3224
US
V. Phone/Fax
- Phone: 407-536-7134
- Fax:
- Phone: 631-873-9092
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
NAJEEB
HUSSAINI
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 631-873-9092