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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