Provider Demographics
NPI:1770850612
Name:CENTRAL FLORIDA INTERNAL, OCCUPATIONAL & ENVIRONMENTAL MEDICINE, P.A.
Entity Type:Organization
Organization Name:CENTRAL FLORIDA INTERNAL, OCCUPATIONAL & ENVIRONMENTAL MEDICINE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:P/D
Authorized Official - Prefix:DR
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:N
Authorized Official - Last Name:ARUMUGAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:863-471-9377
Mailing Address - Street 1:7200 S GEORGE BLVD
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33875-5846
Mailing Address - Country:US
Mailing Address - Phone:863-471-9377
Mailing Address - Fax:863-471-9477
Practice Address - Street 1:7200 S GEORGE BLVD
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33875-5846
Practice Address - Country:US
Practice Address - Phone:863-471-9377
Practice Address - Fax:863-471-9477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-21
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL604550261Q00000X, 261QX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLFO703AMedicare PIN