Provider Demographics
NPI:1083918544
Name:ORLANDO HEALTH
Entity Type:Organization
Organization Name:ORLANDO HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRIC INFECTIOUS DISEASE
Authorized Official - Prefix:
Authorized Official - First Name:FEDERICO
Authorized Official - Middle Name:
Authorized Official - Last Name:LAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:321-841-7360
Mailing Address - Street 1:83 W COLUMBIA ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-1101
Mailing Address - Country:US
Mailing Address - Phone:321-841-7360
Mailing Address - Fax:321-841-7361
Practice Address - Street 1:83 W COLUMBIA ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-1101
Practice Address - Country:US
Practice Address - Phone:321-841-7360
Practice Address - Fax:321-841-7361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-27
Last Update Date:2010-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatricsGroup - Single Specialty