Provider Demographics
NPI:1558750414
Name:FRED H HYER, MD
Entity Type:Organization
Organization Name:FRED H HYER, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRED
Authorized Official - Middle Name:HENDRY
Authorized Official - Last Name:HYER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-896-1910
Mailing Address - Street 1:2501 N ORANGE AVE
Mailing Address - Street 2:105
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-4603
Mailing Address - Country:US
Mailing Address - Phone:407-896-1910
Mailing Address - Fax:407-896-1847
Practice Address - Street 1:2501 N ORANGE AVE
Practice Address - Street 2:105
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-4603
Practice Address - Country:US
Practice Address - Phone:407-896-1910
Practice Address - Fax:407-896-1847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-15
Last Update Date:2015-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME18071207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD53085Medicare UPIN