Provider Demographics
NPI:1700076437
Name:CEDENO, ORLANDO A (DPM)
Entity Type:Individual
Prefix:
First Name:ORLANDO
Middle Name:A
Last Name:CEDENO
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:ORLANDO
Other - Middle Name:ALFREDO
Other - Last Name:FRANCIS-CEDENO
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:DPM
Mailing Address - Street 1:4601 MILITARY TRL STE 202
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-4835
Mailing Address - Country:US
Mailing Address - Phone:561-624-4800
Mailing Address - Fax:561-624-5206
Practice Address - Street 1:4601 MILITARY TRL STE 202
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-4835
Practice Address - Country:US
Practice Address - Phone:561-624-4800
Practice Address - Fax:561-624-5206
Is Sole Proprietor?:No
Enumeration Date:2007-07-30
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0103301053213EP0504X, 213EP1101X, 213ES0000X, 213ES0103X, 213ES0131X, 213EP1101X
FLPO3982213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
No213EP0504XPodiatric Medicine & Surgery Service ProvidersPodiatristPublic Medicine
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
No213ES0000XPodiatric Medicine & Surgery Service ProvidersPodiatristSports Medicine
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1003914698OtherGROUP NPI
VA1700076437Medicaid
VA1700076437Medicare PIN
VA1700076437Medicaid
VA1003914698OtherGROUP NPI