Orlando Immunology Center Pa

LBN: Orlando Immunology Center Pa
Orlando Immunology Center Pa is an health care organization with primary practice located at 1707 N Mills Ave , Orlando FL 32803-1851. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as the primary health care specialty. Orlando Immunology Center Pa can be contacted via phone (407) 647-3960, or through Dejesus, Edwin via phone (407) 647-3960.

Contact Information

Primary practice address
1707 N Mills Ave Orlando FL 32803-1851
Phone: (407) 647-3960
Fax: (407) 413-5775
Website:
Map and Directions
Authorized official contact:
Name: Dejesus, Edwin Doctor of Medicine (MD)
Phone: (407) 647-3960

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X

Profile Details

NPI number 1467003772
LBN Legal business name Orlando Immunology Center Pa
DBA Doing business as
Authorized official Dejesus, Edwin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2019
Last updated May 8th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467003772 NPPES
Florida MEDICAID 104671400

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