MEDICARE: DR. ELSA ORLANDINI PSY.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
1	103T00000X	Psychologist	PY6378	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PY6378	OTHER	FL	LICENSE

General Provider Information

NPI Number	:	1780716035
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELSA ORLANDINI PSY.D.

Provider Business Mailing Address
First Line	:	1111 LINCOLN RD STE 400
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-2439
Country	:	US
Telephone Number	:	305-934-6026
Fax Number	:

Provider Business Practice Location Address
First Line	:	1111 LINCOLN RD STE 400
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-2439
Country	:	US
Telephone Number	:	305-934-6026
Fax Number	:

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

Provider Enumeration Date	:	03/12/2007
Last Update Date	:	08/28/2009

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