Tara Sivan Udelson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9103140 Issued in FL

Practice address

2501 N Orange Ave Ste 381
Orlando, FL 32804-4623

Phone

(407) 898-5452

Fax

(407) 898-2898

NPI assigned

Mar 16, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237161600000",
    "number": "1689815037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 N ORANGE AVE STE 381",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044623",
            "telephone_number": "407-898-5452",
            "fax_number": "407-898-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N ORANGE AVE STE 381",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044623",
            "telephone_number": "407-898-5452",
            "fax_number": "407-898-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDELSON",
        "first_name": "TARA",
        "middle_name": "SIVAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-16",
        "last_updated": "2009-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9103140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arika Uddin
• Farzana Uddin, DMD
• Caitlin Alyse Uddo, APRN-C, FNP-C
• Donald U Ude, RPH
• Adanna Udeh, MD
• Inemesit Udo, DNP,FNP-BC, PMHNP-BC
• Luna Ueno, PHD
• Uf Cancer Center at Orlando Health
• Julia Ugan
• Valerie Audra Ugartechea, LCSW

• Physician Assistant in Orlando, FL
• Providers in Orlando, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.