Healthcare Provider Details

I. General information

NPI: 1649452517
Provider Name (Legal Business Name): UNITEDRADS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2007
Last Update Date: 08/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11253 S APOPKA VINELAND RD
ORLANDO FL
32836
US

IV. Provider business mailing address

11253 S APOPKA VINELAND RD
ORLANDO FL
32836
US

V. Phone/Fax

Practice location:
  • Phone: 407-928-5267
  • Fax: 800-410-4819
Mailing address:
  • Phone: 407-928-5267
  • Fax: 800-410-4819

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberME81488
License Number StateFL

VIII. Authorized Official

Name: DR. ADEL ABAS ABDALLA
Title or Position: CEO
Credential: MD
Phone: 877-879-3603