NPIMap

Organization Active NPI

Orlando Infectious Disease Consultancy Services, PL

  • Infectious Disease Physician
  • Kissimmee, FL
National Provider Identifier
1992850846
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME88164 Issued in FL
Legal business name
ORLANDO INFECTIOUS DISEASE CONSULTANCY SERVICES, PL
Practice address
720 W Oak St
Suite 111
Kissimmee, FL 34741-4989
Phone
(407) 855-2619
Fax
(407) 826-4356
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Riaz Khattak
Title
Office Manager Owner
Phone
(407) 855-2619

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X ME88164 FL Primary

Addresses

Primary practice location

720 W Oak St
Suite 111
Kissimmee, FL 34741-4989

Mailing address

4156 Brookmyra Dr
Orlando, FL 32837-5109
Phone (407) 855-2619

National Provider Directory

National Provider Directory
Tax ID family
Orlando Infectious Disease C2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992850846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4156 BROOKMYRA DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328375109",
            "telephone_number": "407-855-2619",
            "fax_number": "407-826-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W OAK ST",
            "address_2": "SUITE 111",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414989",
            "telephone_number": "407-855-2619",
            "fax_number": "407-826-4356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO INFECTIOUS DISEASE CONSULTANCY SERVICES, PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KHATTAK",
        "authorized_official_first_name": "RIAZ",
        "authorized_official_title_or_position": "OFFICE MANAGER OWNER",
        "authorized_official_telephone_number": "407-855-2619",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME88164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.