Healthcare Provider Details

I. General information

NPI: 1437779139
Provider Name (Legal Business Name): ORLANDO NOSE AND SINUS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2020
Last Update Date: 04/22/2020
Certification Date: 04/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1035 N ORLANDO AVE STE 205
WINTER PARK FL
32789-2213
US

IV. Provider business mailing address

1035 N ORLANDO AVE STE 205
WINTER PARK FL
32789-2213
US

V. Phone/Fax

Practice location:
  • Phone: 407-636-5384
  • Fax:
Mailing address:
  • Phone: 407-636-5384
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State

VIII. Authorized Official

Name: KAPIL SAIGAL
Title or Position: PRESIDENT & CEO
Credential: MD
Phone: 407-636-5384