MEDICARE: JEFFREY BRAD FISCHER 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	208800000X	Urology Physician	ME57610	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	:	1821095068
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY BRAD FISCHER MD

Provider Business Mailing Address
First Line	:	2400 N ORANGE BLOSSOM TRL STE 210
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34744-2308
Country	:	US
Telephone Number	:	407-933-2500
Fax Number	:	407-933-0586

Provider Business Practice Location Address
First Line	:	2400 N ORANGE BLOSSOM TRL STE 210
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34744-2308
Country	:	US
Telephone Number	:	407-933-2500
Fax Number	:	407-933-0586

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

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	03/06/2025

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Directions to “ JEFFREY BRAD FISCHER MD” Practice Location

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