| Edward Orshansky Md Inc | |
|
12412 San Jose Blvd Ste 404 Jacksonville FL 32223-8620 | |
| (904) 464-1044 | |
| (904) 734-6281 |
| Full Name | Edward Orshansky Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 12412 San Jose Blvd Ste 404, Jacksonville, Florida |
| Authorized Official Name and Position | Edward Orshansky (PRESIDENT) |
| Authorized Official Contact | 9046468788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Orshansky Md Inc 12412 San Jose Blvd Ste 404 Jacksonville FL 32223-8620 Ph: (904) 464-1044 | Edward Orshansky Md Inc 12412 San Jose Blvd Ste 404 Jacksonville FL 32223-8620 Ph: (904) 464-1044 |
| NPI Number | 1497517155 |
|---|---|
| Provider Enumeration Date | 01/29/2024 |
| Last Update Date | 09/23/2024 |
| Medicare PECOS PAC ID | 6608218672 |
|---|---|
| Medicare Enrollment ID | O20240522000561 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497517155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Edward Orshansky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285054460 PECOS PAC ID: 8820218548 Enrollment ID: I20171120003394 |
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