Healthcare Provider Details

I. General information

NPI: 1942673694
Provider Name (Legal Business Name): ORLANDO NEUROSURGERY & ORTHOPEDICS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2015
Last Update Date: 11/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1936 LEE RD SUITE 250
WINTER PARK FL
32789-7229
US

IV. Provider business mailing address

1936 LEE RD SUITE 250
WINTER PARK FL
32789-7229
US

V. Phone/Fax

Practice location:
  • Phone: 321-316-4665
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: ERIC WEINBERGER
Title or Position: ADMINISTRATOR
Credential:
Phone: 561-801-3971