Provider Demographics
NPI:1912188665
Name:RICHARD M ORLAN MD PLC
Entity Type:Organization
Organization Name:RICHARD M ORLAN MD PLC
Other - Org Name:COMPREHENSIVE GERIATRIC CARE CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:M
Authorized Official - Last Name:ORLAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-388-8326
Mailing Address - Street 1:13799 PARK BLVD # 268
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:FL
Mailing Address - Zip Code:33776-3402
Mailing Address - Country:US
Mailing Address - Phone:727-388-8326
Mailing Address - Fax:727-388-8326
Practice Address - Street 1:13799 PARK BLVD # 268
Practice Address - Street 2:
Practice Address - City:SEMINOLE
Practice Address - State:FL
Practice Address - Zip Code:33776-3402
Practice Address - Country:US
Practice Address - Phone:727-388-8326
Practice Address - Fax:727-388-8326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-23
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME66475207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL377156300Medicaid
FLE73889Medicare UPIN
FL377156300Medicaid