Individual
MATTHEW D IMFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
565856
OH
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME59982
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056017100
—
FL
01
—
0961384
AETNA QPOS
—
01
—
12657
BLUE CROSS BLUE SHIELD
—
01
—
4227385
AETNA PPO
—
01
—
4310614008
CIGNA
—
01
—
593224058002
PRUCARE
—
Enumeration date
10/17/2006
Last updated
01/05/2010
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