Individual
DR. CRAIG M. MINTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8701 MAITLAND SUMMIT BLVD, ORLANDO, FL 32810-5915
(407) 916-4120
(407) 643-2806
Mailing address
8701 MAITLAND SUMMIT BLVD, ORLANDO, FL 32810-5915
(407) 916-4120
(407) 643-2806
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
ME0069915
FL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
ME0069915
FL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
ME0069915
FL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
ME69915
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200030016
RAILROAD
FL
05
—
256998100
—
FL
01
—
42256
BC/BS
FL
Enumeration date
07/15/2005
Last updated
11/24/2020
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