Provider Demographics
NPI:1497355887
Name:ORANGE CARE PHYSICIAN PARTNERS OF FLORIDA, LLC
Entity Type:Organization
Organization Name:ORANGE CARE PHYSICIAN PARTNERS OF FLORIDA, LLC
Other - Org Name:ORANGE CARE MEDICAL GROUP LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:EXPOSITO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-363-8500
Mailing Address - Street 1:14750 NW 77TH CT STE 308
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-1537
Mailing Address - Country:US
Mailing Address - Phone:786-363-8500
Mailing Address - Fax:786-363-8500
Practice Address - Street 1:14750 NW 77TH CT STE 308
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-1537
Practice Address - Country:US
Practice Address - Phone:786-363-8500
Practice Address - Fax:786-363-8500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-27
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
333555333555OtherTO BE DETERMINED