Provider Demographics
NPI:1710916127
Name:MALDONADO, ORLANDO (MD)
Entity Type:Individual
Prefix:DR
First Name:ORLANDO
Middle Name:
Last Name:MALDONADO
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 1:812 86TH STREET CT NW
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34209-9791
Mailing Address - Country:US
Mailing Address - Phone:941-794-0951
Mailing Address - Fax:941-749-7944
Practice Address - Street 1:407 6TH AVE E
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208-1927
Practice Address - Country:US
Practice Address - Phone:941-749-7997
Practice Address - Fax:941-749-7944
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMEOO451592084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLM7690OtherFL HF MEDICARE
FL51241YMedicare ID - Type Unspecified