Individual
DR. LORRAINE BERGES NADJAFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
52 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 842-8475
(407) 849-6470
Mailing address
52 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 842-8475
(407) 849-6470
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME124447
FL
2085R0202X
Diagnostic Radiology Physician
TRN 14998
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017900700
—
FL
01
—
32F93
BCBS
FL
01
—
IP632Y
MEDICARE PTAN OHRI
FL
01
—
PS187
MEDICARE PTAN OHMG
FL
Enumeration date
04/17/2013
Last updated
03/28/2023
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