Individual
DR. ERIC ALEXANDER ADDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
52 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 842-8475
Mailing address
52 UNDERWOOD ST, MP 153, ORLANDO, FL 32806-1110
(321) 841-2558
(407) 849-6470
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME121391
FL
2085R0204X
Vascular & Interventional Radiology Physician
25MA10621500
NJ
2085R0204X
Vascular & Interventional Radiology Physician
ME121391
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106273300
—
FL
01
—
Q00423072
RAILROAD MEDICARE PTAN OHMG
FL
01
—
QC666
MEDICARE PTAN OHMG
FL
01
—
YRVDJ
BCBS
FL
Enumeration date
05/14/2013
Last updated
04/29/2026
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