Provider Demographics
NPI:1295990497
Name:CENTRAL FLORIDA INFECTIOUS DISEASES GROUP PL
Entity type:Organization
Organization Name:CENTRAL FLORIDA INFECTIOUS DISEASES GROUP PL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:PACHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-896-9660
Mailing Address - Street 1:316 GROVELAND ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-4019
Mailing Address - Country:US
Mailing Address - Phone:407-896-9660
Mailing Address - Fax:407-896-9661
Practice Address - Street 1:316 GROVELAND ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-4019
Practice Address - Country:US
Practice Address - Phone:407-896-9660
Practice Address - Fax:407-896-9661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-28
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical SpecialtyGroup - Single Specialty