Healthcare Provider Details

I. General information

NPI: 1376326082
Provider Name (Legal Business Name): ORLANDOPHYSICIANS PRACTICE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2023
Last Update Date: 08/16/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2295 S. HIAWASSEE ROAD SUITE 210
ORLANDO FL
32835
US

IV. Provider business mailing address

2295 S. HIAWASSEE ROAD SUITE 210
ORLANDO FL
32835
US

V. Phone/Fax

Practice location:
  • Phone: 718-924-3611
  • Fax: 407-233-4010
Mailing address:
  • Phone: 718-924-3611
  • Fax: 407-233-4010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DANIEL RSA HAY
Title or Position: CO-OWNER/DIRECTOR
Credential: D.O.
Phone: 718-924-3611