MEDICARE: JUAN CAMILO RESTREPO CARDENAS 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	207L00000X	Anesthesiology Physician	ME180022	FL
2	207L00000X	Anesthesiology Physician	39271	AL

General Provider Information

NPI Number	:	1942687546
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUAN CAMILO RESTREPO CARDENAS MD

Provider Business Mailing Address
First Line	:	52 UNDERWOOD ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-1115
Country	:	US
Telephone Number	:	407-712-8131
Fax Number	:

Provider Business Practice Location Address
First Line	:	52 UNDERWOOD ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-1115
Country	:	US
Telephone Number	:	407-712-8131
Fax Number	:

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

Provider Enumeration Date	:	05/03/2015
Last Update Date	:	06/08/2026

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