Organization
ORLANDO HEALTH INC
Active
Other names
Orlando Regional Pediatric Anesthesia Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH EGGERT (VP, REVENUE MANAGEMENT)
(321) 843-6805
Entity
Organization
Contact information
Practice address
1414 KUHL AVE., ORLANDO, FL 32806
(407) 481-7174
(407) 481-7190
Mailing address
102 W. PINELOCH AVE., SUITE 23, ORLANDO, FL 32806
(407) 481-7174
(407) 481-7190
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
5000-0576991
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036396102
—
FL
Enumeration date
02/28/2007
Last updated
09/30/2008
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