Provider Demographics
NPI:1598741928
Name:PAINTER, HEMANT PRABHUDAS (MD, MB,BS)
Entity Type:Individual
Prefix:DR
First Name:HEMANT
Middle Name:PRABHUDAS
Last Name:PAINTER
Suffix:
Gender:M
Credentials:MD, MB,BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7232 W SAND LAKE RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-5260
Mailing Address - Country:US
Mailing Address - Phone:407-237-0900
Mailing Address - Fax:407-237-0901
Practice Address - Street 1:7232 W SAND LAKE RD STE 102
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-5253
Practice Address - Country:US
Practice Address - Phone:407-237-0900
Practice Address - Fax:407-237-0901
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06926300207RG0300X
FLME0073298207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ117445W9UMedicare PIN
FLG64095Medicare UPIN
FL46386YMedicare PIN