Organization
CENTRAL FLORIDA PYSIATRISTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GENE HADDOCK MD (PRESIDENT)
(407) 352-6900
Entity
Organization
Contact information
Practice address
10345 ORANGEWOOD BLVD, ORLANDO, FL 32821-8239
(407) 352-6900
(407) 352-6163
Mailing address
10345 ORANGEWOOD BLVD, ORLANDO, FL 32821-8239
(407) 352-6900
(407) 352-6163
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24515
BC BS
—
01
—
3085527001
CIGNA
—
05
—
376459100
—
FL
Enumeration date
11/08/2006
Last updated
01/05/2010
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