Healthcare Provider Details

I. General information

NPI: 1457735326
Provider Name (Legal Business Name): FAIRBANKS PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2015
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

265 E ROLLINS ST STE 12000
ORLANDO FL
32804-5571
US

IV. Provider business mailing address

265 E ROLLINS ST STE 12000
ORLANDO FL
32804-5571
US

V. Phone/Fax

Practice location:
  • Phone: 407-975-0200
  • Fax: 407-975-0209
Mailing address:
  • Phone: 407-975-0200
  • Fax: 407-975-0209

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MELVIN FIELD
Title or Position: PRESIDENT
Credential: MD
Phone: 407-975-0200