Eleazar Udang, is a
Social Worker based in Kissimmee, Florida. Eleazar Udang is licensed to practice in * (Not Available) (license number ) and his current practice location is
1144 E Donegan Ave, Kissimmee, Florida. He can be reached at his office (for appointments etc.) via phone at
(407) 344-0312.
NPI number for Eleazar Udang is 1982151619 and his current mailing address is 5055 Asbury Parke Dr, Apt 201, Lakeland, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1982151619.
Healthcare Provider's Profile
| Full Name | Eleazar Udang |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker |
|---|
| Location | 1144 E Donegan Ave, Kissimmee, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1982151619
- Provider Enumeration Date: 09/11/2016
- Last Update Date: 09/11/2016
Medical Identifiers
Medical identifiers for Eleazar Udang such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982151619 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Eleazar Udang is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Eleazar Udang,
5055 Asbury Parke Dr, Apt 201,
Lakeland, FL 33805-3571
Ph: (863) 510-6190 | Eleazar Udang,
1144 E Donegan Ave,
Kissimmee, FL 34744-1932
Ph: (407) 344-0312 |
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