Healthcare Provider Details

I. General information

NPI: 1851592687
Provider Name (Legal Business Name): NAGY ELSAYYAD MBBCH(MD)
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2007
Last Update Date: 04/23/2024
Certification Date: 04/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 N ORANGE AVE STE 182
ORLANDO FL
32804-4675
US

IV. Provider business mailing address

2501 N ORANGE AVE STE 182
ORLANDO FL
32804-4675
US

V. Phone/Fax

Practice location:
  • Phone: 407-303-2030
  • Fax: 407-303-2042
Mailing address:
  • Phone: 407-303-2030
  • Fax: 407-303-2042

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number70324
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number71952-20
License Number StateWI
# 3
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberME92589
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: