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6000 Turkey Lake Rd Ste 208 Orlando FL 32819-4206 | |
| (407) 648-5252 | |
| (407) 370-4126 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 6000 Turkey Lake Rd Ste 208, Orlando, Florida |
| Authorized Official Name and Position | Melissa J Staffelli (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 4076485252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
6000 Turkey Lake Rd Ste 209 Orlando FL 32819-4206 Ph: (407) 648-5252 | 6000 Turkey Lake Rd Ste 208 Orlando FL 32819-4206 Ph: (407) 648-5252 |
| NPI Number | 1013128420 |
|---|---|
| Provider Enumeration Date | 05/25/2007 |
| Last Update Date | 08/13/2024 |
| Medicare PECOS PAC ID | 1355888488 |
|---|---|
| Medicare Enrollment ID | O20240806003838 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013128420 | NPI | - | NPPES |
| Provider Name | Mildred Silva |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1093735615 PECOS PAC ID: 7517946197 Enrollment ID: I20040716000792 |
| Provider Name | Elizabeth Gaye Rosen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659588325 PECOS PAC ID: 5597203505 Enrollment ID: I20240821001077 |
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