Provider Demographics
NPI:1538104161
Name:BADAWY, AMR H (MD)
Entity Type:Individual
Prefix:DR
First Name:AMR
Middle Name:H
Last Name:BADAWY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4351 HUNTERS PARK LN
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-7614
Mailing Address - Country:US
Mailing Address - Phone:407-985-4700
Mailing Address - Fax:407-985-4702
Practice Address - Street 1:4351 HUNTERS PARK LN
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-7614
Practice Address - Country:US
Practice Address - Phone:407-985-4700
Practice Address - Fax:407-985-4702
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-18
Last Update Date:2018-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA83908207L00000X
FLME 110154207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A839080Medicaid
FL011885300Medicaid
CAI73633Medicare UPIN
FL011885300Medicaid