Individual
GEORGE JOHN HAIDUKEWYCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
89 W COPELAND DR, 3RD FLOOR, ORLANDO, FL 32806-2028
(407) 649-6878
(407) 843-7381
Mailing address
89 W COPELAND DR, 3RD FLOOR, ORLANDO, FL 32806-2028
(407) 649-6878
(407) 843-7381
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME75428
FL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
ME75428
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268409800
—
FL
01
—
2915522
AVMED
FL
01
—
5211045
AETNA
FL
01
—
8164744
CIGNA
FL
01
—
82052
BCBS OF FL
FL
01
—
P00201358
RAILROAD MEDICARE
FL
Enumeration date
06/17/2005
Last updated
02/09/2011
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