Organization
ORLANDO INFECTIOUS DISEASE CONSULTANCY SERVICES PL
Active
Organization
ORLANDO INFECTIOUS DISEASE CONSULTANCY SERVICES PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIAM ADAM ESAT M.D. (PRESIDENT)
(407) 350-5917
Entity
Organization
Contact information
Practice address
1182 CYPRESS GLEN CIR, KISSIMMEE, FL 34741-7560
(407) 350-5917
(407) 350-5928
Mailing address
4156 BROOKMYRA DR, ORLANDO, FL 32837-5109
(321) 228-0073
(407) 350-5928
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME88164
FL
207RI0200X
Infectious Disease Physician
Primary
ME88164
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268403900
—
FL
01
—
DF5048
RAILROAD MEDICARE
FL
Enumeration date
11/21/2006
Last updated
12/26/2014
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