Provider Demographics
NPI:1255546271
Name:E. ROGER ALILIN, M.D., P.A.
Entity type:Organization
Organization Name:E. ROGER ALILIN, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ELEUTERIO
Authorized Official - Middle Name:ROGER
Authorized Official - Last Name:ALILIN
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:407-657-2111
Mailing Address - Street 1:7221 ALOMA AVE
Mailing Address - Street 2:SUITE 400-B
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-7119
Mailing Address - Country:US
Mailing Address - Phone:407-657-2111
Mailing Address - Fax:407-679-2906
Practice Address - Street 1:7221 ALOMA AVE
Practice Address - Street 2:SUITE 400-B
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-7119
Practice Address - Country:US
Practice Address - Phone:407-657-2111
Practice Address - Fax:407-679-2906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty