Provider Demographics
NPI:1821306192
Name:ARMANDO REGO, MD PA
Entity Type:Organization
Organization Name:ARMANDO REGO, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARMANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:REGO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-895-9255
Mailing Address - Street 1:601 E COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-4602
Mailing Address - Country:US
Mailing Address - Phone:407-895-9255
Mailing Address - Fax:407-898-9019
Practice Address - Street 1:601 E COLONIAL DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-4602
Practice Address - Country:US
Practice Address - Phone:407-895-9255
Practice Address - Fax:407-898-9019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-20
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL47334Medicare PIN
FLD55016Medicare UPIN
FLEA193AMedicare PIN