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NPI Code Detail

MEDICARE: DR. JHONNY ERIK ORDONEZ M.D.

MEDICARE:  DR. JHONNY ERIK ORDONEZ  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
1207PT0002XMedical Toxicology (Emergency Medicine) PhysicianME161448FL
2390200000XStudent in an Organized Health Care Education/Training Program06700926ZZ
3207R00000XInternal Medicine PhysicianME161448FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912272543
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JHONNY ERIK ORDONEZ M.D.
Provider Business Mailing Address
First Line : 6900 TAVISTOCK LAKES BLVD STE 300
Second Line :
City : ORLANDO
State : FL
Zip : 32827-7592
Country : US
Telephone Number : 321-332-6947
Fax Number : 407-286-4515
Provider Business Practice Location Address
First Line : 810 N NOWELL ST
Second Line :
City : ORLANDO
State : FL
Zip : 32808-7539
Country : US
Telephone Number : 407-290-9556
Fax Number : 407-290-9509
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2012
Last Update Date : 08/14/2024

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