MEDICARE: DR. HEMANT PRABHUDAS PAINTER MD, MB.,BS

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	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	25MA06926300	NJ
2	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	ME0073298	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

General Provider Information

NPI Number	:	1598741928
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HEMANT PRABHUDAS PAINTER MD, MB.,BS

Provider Business Mailing Address
First Line	:	7232 W SAND LAKE RD
Second Line	:	SUITE 102
City	:	ORLANDO
State	:	FL
Zip	:	32819-5260
Country	:	US
Telephone Number	:	407-237-0900
Fax Number	:	407-237-0901

Provider Business Practice Location Address
First Line	:	7232 W SAND LAKE RD STE 102
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-5253
Country	:	US
Telephone Number	:	407-237-0900
Fax Number	:	407-237-0901

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

Provider Enumeration Date	:	12/18/2005
Last Update Date	:	07/21/2022

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