Provider Demographics
NPI:1720733520
Name:ORLANDO TELE CLINIC LLC
Entity Type:Organization
Organization Name:ORLANDO TELE CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARSHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:REHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:321-303-6457
Mailing Address - Street 1:11954 NARCOOSSEE RD
Mailing Address - Street 2:SUITE 2 BOX 167
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32832
Mailing Address - Country:US
Mailing Address - Phone:407-335-3549
Mailing Address - Fax:866-366-6603
Practice Address - Street 1:11954 NARCOOSSEE RD
Practice Address - Street 2:SUITE 2 #167
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32832
Practice Address - Country:US
Practice Address - Phone:407-335-3549
Practice Address - Fax:866-366-6603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-21
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty