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NPI Code Detail

MEDICARE: DR. CRAIG M. MINTZER M.D.

MEDICARE: DR. CRAIG M. MINTZER 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
1207X00000XOrthopaedic Surgery PhysicianME0069915FL
2207XS0114XAdult Reconstructive Orthopaedic Surgery PhysicianME0069915FL
3207XX0005XSports Medicine (Orthopaedic Surgery) PhysicianME0069915FL
4207XX0005XSports Medicine (Orthopaedic Surgery) PhysicianME69915FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1200030016OTHERFLRAILROAD
242256OTHERFLBC/BS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457350191
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CRAIG M. MINTZER M.D.
Provider Business Mailing Address
First Line : 8701 MAITLAND SUMMIT BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32810-5915
Country : US
Telephone Number : 407-916-4120
Fax Number : 407-643-2806
Provider Business Practice Location Address
First Line : 8701 MAITLAND SUMMIT BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32810-5915
Country : US
Telephone Number : 407-916-4120
Fax Number : 407-643-2806
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2005
Last Update Date : 11/24/2020

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