Provider Demographics
NPI:1982890190
Name:ORLANDO NEPHROLOGY & HYPERTENSION, PA
Entity Type:Organization
Organization Name:ORLANDO NEPHROLOGY & HYPERTENSION, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JAVED
Authorized Official - Middle Name:
Authorized Official - Last Name:SYED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-422-3456
Mailing Address - Street 1:60 COLUMBIA ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-1126
Mailing Address - Country:US
Mailing Address - Phone:407-422-3456
Mailing Address - Fax:407-841-2345
Practice Address - Street 1:60 COLUMBIA ST
Practice Address - Street 2:SUITE B
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-1126
Practice Address - Country:US
Practice Address - Phone:407-422-3456
Practice Address - Fax:407-841-2345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-20
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE0511ZOtherINDIVIDUAL MEDICARE PIN
FL1891718417OtherINDIVIDUAL NPI
FLG83508Medicare UPIN
FLK2789Medicare PIN