Healthcare Provider Details
I. General information
NPI: 1114146602
Provider Name (Legal Business Name): MD ONE ON ONE, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/24/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6200 METROWEST BLVD SUITE 105
ORLANDO FL
32835-7636
US
IV. Provider business mailing address
6200 METROWEST BLVD SUITE 105
ORLANDO FL
32835-7636
US
V. Phone/Fax
- Phone: 407-210-2101
- Fax: 407-345-4893
- Phone: 407-210-2101
- Fax: 407-345-4893
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | ME0046440 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RS0012X |
| Taxonomy | Sleep Medicine (Internal Medicine) Physician |
| License Number | ME0046440 |
| License Number State | FL |
VIII. Authorized Official
Name: DR.
DEBORAH
FAIRCHILD
HARDING
Title or Position: PRESIDENT
Credential: M.D.
Phone: 407-210-2101