MEDICARE: JAVIER URDANETA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	ME68802	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063499119
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAVIER URDANETA MD

Provider Business Mailing Address
First Line	:	601 S HARBOUR ISLAND BLVD STE 200
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33602-5925
Country	:	US
Telephone Number	:	727-322-3439
Fax Number	:	800-928-7449

Provider Business Practice Location Address
First Line	:	5414 DEEP LAKE RD STE 1104
Second Line	:
City	:	OVIEDO
State	:	FL
Zip	:	32765-5243
Country	:	US
Telephone Number	:	407-986-9850
Fax Number	:	844-388-6186

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2005
Last Update Date	:	08/10/2022

Similar Medicare Providers

1487695979 — PUBLIX SUPER MARKETS INC
Practice Location Address:

4250 ALAFAYA TRL
OVIEDO, FL
32765-9412

Practice Phone: 407-366-9720
Practice Fax: 407-366-3292

1568398154 — DR. FATIMA ELVIRA TERRAZAS ARELLANES
Practice Location Address:

9455 BELMONT TER
OVIEDO, FL
32765-6175

Practice Phone: 541-514-1671
Practice Fax:

1003857509 — PUBLIX SUPER MARKETS INC
Practice Location Address:

2100 WINTER SPRINGS BLVD
OVIEDO, FL
32765-9342

Practice Phone: 407-366-9810
Practice Fax: 407-366-5960

1285673236 — PUBLIX SUPER MARKETS INC
Practice Location Address:

1801 E BROADWAY ST
OVIEDO, FL
32765-8597

Practice Phone: 407-971-0395
Practice Fax: 407-971-0489

1710813126 — DANIELLA CAMEN RBT
Practice Location Address:

1642 CANTON LN
OVIEDO, FL
32765-6265

Practice Phone: 321-603-9589
Practice Fax: 321-603-9589

1033096946 — RONIN EUFRAZIO
Practice Location Address:

1310 OVIEDO MALL BLVD
OVIEDO, FL
32765-7418

Practice Phone: 605-271-2690
Practice Fax: 605-271-3956

Directions to “ JAVIER URDANETA MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.