MEDICARE: DR. LILLIAN T. SAAVEDRA 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	2084P0800X	Psychiatry Physician	ME 45693	FL

General Provider Information

NPI Number	:	1578564993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LILLIAN T. SAAVEDRA MD

Provider Business Mailing Address
First Line	:	9818 MOHRS COVE LN
Second Line	:
City	:	WINDERMERE
State	:	FL
Zip	:	34786-8009
Country	:	US
Telephone Number	:	407-592-3896
Fax Number	:

Provider Business Practice Location Address
First Line	:	7300 SANDLAKE COMMONS BLVD STE 315
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-8011
Country	:	US
Telephone Number	:	407-849-0227
Fax Number	:

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

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	01/09/2019

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