| Chaldean-care Infectious Diseases Llc | |
|
830 29th St Orlando FL 32805-6219 | |
| (321) 972-8905 | |
| (312) 972-8945 |
| Full Name | Chaldean-care Infectious Diseases Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 830 29th St, Orlando, Florida |
| Authorized Official Name and Position | Diane C Vanhorne-padilla (OWNER) |
| Authorized Official Contact | 9566553078 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chaldean-care Infectious Diseases Llc 4300 W Lake Mary Blvd Ste 1010 Pmb 135 Lake Mary FL 32746-2449 Ph: (321) 972-8905 | Chaldean-care Infectious Diseases Llc 830 29th St Orlando FL 32805-6219 Ph: (321) 972-8905 |
| NPI Number | 1386362218 |
|---|---|
| Provider Enumeration Date | 08/17/2022 |
| Last Update Date | 01/10/2025 |
| Medicare PECOS PAC ID | 5294110029 |
|---|---|
| Medicare Enrollment ID | O20220915000836 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386362218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| 208M00000X | Hospitalist | (* (Not Available)) | Secondary |
| Provider Name | Diane Carol Vanhorne-padilla |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1457467045 PECOS PAC ID: 6800036427 Enrollment ID: I20130702000658 |
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