Healthcare Provider Details

I. General information

NPI: 1831408137
Provider Name (Legal Business Name): JIAN YE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2010
Last Update Date: 11/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 E ROLLINS ST
ORLANDO FL
32803-1248
US

IV. Provider business mailing address

851 TRAFALGAR CT SUITE 200E
MAITLAND FL
32751-4132
US

V. Phone/Fax

Practice location:
  • Phone: 321-422-7155
  • Fax: 407-667-4338
Mailing address:
  • Phone: 321-422-7155
  • Fax: 407-667-4338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License Number123646
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number123646
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: