Individual
JEFFREY L FITCH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1414 S ORANGE AVE, ORLANDO, FL 32806-2134
(407) 841-5111
(800) 536-8431
Mailing address
PO BOX 628296, ORLANDO, FL 32862-8296
(888) 898-3293
(800) 536-8431
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME0087355
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71819
BCBS
FL
01
—
P00289269
RAILROAD MEDICARE
FL
Enumeration date
05/20/2006
Last updated
07/08/2007
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