Healthcare Provider Details

I. General information

NPI: 1609895937
Provider Name (Legal Business Name): NILA DESAI M.D.MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

832 W CENTRAL BLVD
ORLANDO FL
32805-1809
US

IV. Provider business mailing address

832 W CENTRAL BLVD
ORLANDO FL
32805-1809
US

V. Phone/Fax

Practice location:
  • Phone: 407-836-2690
  • Fax: 407-836-2543
Mailing address:
  • Phone: 407-836-2690
  • Fax: 407-836-2543

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME0045727
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberME0045727
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: