Provider Demographics
NPI:1376326082
Name:ORLANDOPHYSICIANS PRACTICE, PLLC
Entity Type:Organization
Organization Name:ORLANDOPHYSICIANS PRACTICE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:RSA
Authorized Official - Last Name:HAY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:718-924-3611
Mailing Address - Street 1:2295 S. HIAWASSEE ROAD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835
Mailing Address - Country:US
Mailing Address - Phone:718-924-3611
Mailing Address - Fax:407-233-4010
Practice Address - Street 1:2295 S. HIAWASSEE ROAD
Practice Address - Street 2:SUITE 210
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835
Practice Address - Country:US
Practice Address - Phone:718-924-3611
Practice Address - Fax:407-233-4010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty