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NPI Code Detail

MEDICARE: DR. ANID ORBEZO PHELPS MD

MEDICARE:  DR. ANID ORBEZO PHELPS  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
1207Q00000XFamily Medicine PhysicianME94653FL

Other Identifiers

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

General Provider Information

NPI Number : 1407873177
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANID ORBEZO PHELPS MD
Provider Business Mailing Address
First Line : 10611 CORY LAKE DR
Second Line :
City : TAMPA
State : FL
Zip : 33647-2996
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10611 CORY LAKE DR
Second Line :
City : TAMPA
State : FL
Zip : 33647-2996
Country : US
Telephone Number : 813-486-2094
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 02/02/2026

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Directions to “ DR. ANID ORBEZO PHELPS MD” Practice Location

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