Individual
EDGAR A ORELLANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
315 S W C OWENS AVE, CLEWISTON, FL 33440-3637
(863) 983-7813
(863) 983-9604
Mailing address
5827 CORPORATE WAY, WEST PALM BEACH, FL 33407-2000
(561) 844-9443
(561) 472-9692
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME62808
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18680
BCBS PROVIDER #
FL
05
—
373378500
—
FL
Enumeration date
03/28/2006
Last updated
03/19/2019
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