Provider Demographics
NPI:1275713802
Name:NUMED CARE PA
Entity Type:Organization
Organization Name:NUMED CARE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:T
Authorized Official - Last Name:OLIVEROS
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:407-327-3521
Mailing Address - Street 1:352 TWELVE OAKS DR
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-6192
Mailing Address - Country:US
Mailing Address - Phone:407-327-3521
Mailing Address - Fax:407-327-7791
Practice Address - Street 1:341 N MAITLAND AVE STE 200
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-4761
Practice Address - Country:US
Practice Address - Phone:407-327-3521
Practice Address - Fax:407-327-7791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-12
Last Update Date:2007-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME76859208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty