MEDICARE: DR. FRANS VAN DIJK 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
1	207RM1200X	Magnetic Resonance Imaging (MRI) Internal Medicine Physician	80198	FL
2	207U00000X	Nuclear Medicine Physician	ME80198	FL
3	207UN0902X	Nuclear Imaging & Therapy Physician	ME80798	FL
4	2085N0904X	Nuclear Radiology Physician	ME80198	FL
5	2085R0202X	Diagnostic Radiology Physician	ME80198	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	35442T	OTHER	FL	MEDICARE PTAN OHRI
4	PS521	OTHER	FL	MEDICARE PTAN OHMG

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
3	35442	OTHER	FL	BCBS

General Provider Information

NPI Number	:	1881691616
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANS VAN DIJK M.D.

Provider Business Mailing Address
First Line	:	52 W UNDERWOOD ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-1110
Country	:	US
Telephone Number	:	321-842-8475
Fax Number	:	407-849-6470

Provider Business Practice Location Address
First Line	:	52 W UNDERWOOD ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-1110
Country	:	US
Telephone Number	:	321-842-8475
Fax Number	:	407-849-6470

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

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	03/28/2023

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Directions to “ DR. FRANS VAN DIJK M.D.” Practice Location

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