Organization
ORLANDO PHYSICIAN SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHYAM B PARYANI MD (DIRECTOR)
(904) 309-8680
Entity
Organization
Contact information
Practice address
111 N LAKEMONT AVE, SUITE 2D, WINTER PARK, FL 32792-3213
(407) 622-2030
(407) 622-2333
Mailing address
PO BOX 19634, JACKSONVILLE, FL 32245-9634
(904) 309-8680
(904) 345-5841
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0027J
BCBSFL
FL
Enumeration date
09/10/2012
Last updated
09/10/2012
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