Orlando Infectious Disease Center, P.a,

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME78605 Issued in FL

Legal business name

ORLANDO INFECTIOUS DISEASE CENTER, P.A,

Practice address

4711 Curry Ford Rd
Suite C
Orlando, FL 32812-2704

Phone

(407) 999-5225

Fax

(407) 999-5226

NPI assigned

Jul 13, 2006

Organization subpart

No

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

Authorized official

Name

Jillian Phillips

Title

Operations Manager

Phone

(407) 999-5225

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373241600000",
    "number": "1891711180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 CURRY FORD RD",
            "address_2": "SUITE C",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328122704",
            "telephone_number": "407-999-5225",
            "fax_number": "407-999-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 CURRY FORD RD",
            "address_2": "SUITE C",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328122704",
            "telephone_number": "407-999-5225",
            "fax_number": "407-999-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO INFECTIOUS DISEASE CENTER, P.A,",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2013-07-08",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "407-999-5225"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME78605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258466200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Orlando Healthcare System
• Orlando Heart & Vascular Center LLC
• Orlando Hospitalists LLC
• Orlando Immunology Center PA
• Orlando Implants Center PA
• Orlando Injury Care LLC
• Orlando Inpatient Medicine, PA
• Orlando Internal Medicine Clnter
• Orlando Internal Medicine PA
• Orlando Lutheran Towers Inc

• Specialist in Orlando, FL
• Providers in Orlando, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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.