Individual
FRED S WITTENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 200-2355
Mailing address
2600 WESTHALL LN FL 4, MAITLAND, FL 32751-7102
(407) 200-2355
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
61005
FL
2085R0204X
Vascular & Interventional Radiology Physician
55078
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37597200
—
FL
Enumeration date
01/17/2006
Last updated
12/22/2022
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