Provider Demographics
NPI:1225039506
Name:SAAVEDRA, OSWALD T (MD)
Entity Type:Individual
Prefix:DR
First Name:OSWALD
Middle Name:T
Last Name:SAAVEDRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7300 SANDLAKE COMMONS BLVD
Mailing Address - Street 2:STE 315
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-8050
Mailing Address - Country:US
Mailing Address - Phone:407-849-0227
Mailing Address - Fax:407-423-5484
Practice Address - Street 1:7300 SANDLAKE COMMONS BLVD
Practice Address - Street 2:STE 315
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-8050
Practice Address - Country:US
Practice Address - Phone:407-849-0227
Practice Address - Fax:407-423-5484
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-09
Last Update Date:2016-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME26314207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
110002317OtherRAILROAD MEDICARE
FL039919100Medicaid
FL47381Medicare PIN
110002317OtherRAILROAD MEDICARE