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Organization

ORLANDO HEALTH INC

Active
Other names
OH General Pediatrics & Adolescent Med.
Organization subpart
No

Provider details

NPI number
Authorized official
KEITH EGGERT (VP REVENUE MANAGEMENT)
(407) 237-6393
Entity
Organization

Contact information

Practice address
89 W COPELAND DR, 2ND FLOOR, ORLANDO, FL 32806-2028
(407) 237-6319
(407) 843-8505
Mailing address
89 W COPELAND DR, 2ND FLOOR, ORLANDO, FL 32806-2028
(407) 237-6319
(407) 843-8505

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2080A0000X
Pediatric Adolescent Medicine Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036396100
FL
01
72628
BCBS OF FLORIDA
FL
Enumeration date
06/01/2006
Last updated
09/30/2008
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