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NPI Code Detail

MEDICARE: MR. ORLANDO GARAY FLORETE JR. M.D.

MEDICARE:  MR. ORLANDO GARAY FLORETE JR. M.D.
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
1207LP2900XPain Medicine (Anesthesiology) PhysicianME00058430FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1050074004OTHERFLRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
225155OTHERFLBCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104922541
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ORLANDO GARAY FLORETE JR. M.D.
Provider Business Mailing Address
First Line : 3100 UNIVERSITY BLVD S
Second Line : SUITE 300
City : JACKSONVILLE
State : FL
Zip : 32216-2742
Country : US
Telephone Number : 904-274-8813
Fax Number : 904-503-4465
Provider Business Practice Location Address
First Line : 3100 UNIVERSITY BLVD S
Second Line : SUITE 300
City : JACKSONVILLE
State : FL
Zip : 32216-2742
Country : US
Telephone Number : 904-274-8813
Fax Number : 904-503-4465
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2006
Last Update Date : 02/21/2025

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