Provider Demographics
NPI:1639682016
Name:IDR MED FLORIDA LLC
Entity type:Organization
Organization Name:IDR MED FLORIDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAVIER
Authorized Official - Middle Name:B
Authorized Official - Last Name:CAIRO-LAVADO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-236-6806
Mailing Address - Street 1:3323 SW 115TH TER
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-0032
Mailing Address - Country:US
Mailing Address - Phone:352-236-6806
Mailing Address - Fax:352-622-2033
Practice Address - Street 1:6591 SW HIGHWAY 200
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34476-2033
Practice Address - Country:US
Practice Address - Phone:352-236-6806
Practice Address - Fax:352-622-2033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-08
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty