MEDICARE: DR. LAURI J KAYALEH 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	208000000X	Pediatrics Physician	ME72510	FL

General Provider Information

NPI Number	:	1902896624
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAURI J KAYALEH MD

Provider Business Mailing Address
First Line	:	7051 DR PHILLIPS BLVD SUITE 7
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-5140
Country	:	US
Telephone Number	:	407-345-9929
Fax Number	:	407-447-8969

Provider Business Practice Location Address
First Line	:	7051 DR PHILLIPS BLVD SUITE 7
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-5140
Country	:	US
Telephone Number	:	407-345-9929
Fax Number	:	407-447-8969

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

Provider Enumeration Date	:	10/25/2005
Last Update Date	:	11/20/2024

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Directions to “ DR. LAURI J KAYALEH MD” Practice Location

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