| Orlando Physicians Practice, Pllc | |
|
2295 S Hiawassee Rd Ste 210 Orlando FL 32835-8748 | |
| (407) 802-3233 | |
| (407) 233-4010 |
| Full Name | Orlando Physicians Practice, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2295 S Hiawassee Rd Ste 210, Orlando, Florida |
| Authorized Official Name and Position | Daniel Rsa Hay (OWNER) |
| Authorized Official Contact | 7183243611 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orlando Physicians Practice, Pllc 2295 S Hiawassee Rd Ste 210 Orlando FL 32835-8748 Ph: (407) 802-3233 | Orlando Physicians Practice, Pllc 2295 S Hiawassee Rd Ste 210 Orlando FL 32835-8748 Ph: (407) 802-3233 |
| NPI Number | 1417249830 |
|---|---|
| Provider Enumeration Date | 05/03/2011 |
| Last Update Date | 12/13/2022 |
| Medicare PECOS PAC ID | 9133397375 |
|---|---|
| Medicare Enrollment ID | O20110714000279 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417249830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS10206 (Florida) | Primary |
| Provider Name | Vanessa G King-johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750320057 PECOS PAC ID: 9931165628 Enrollment ID: I20041204000030 |
| Provider Name | Daniel R S A Hay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578514683 PECOS PAC ID: 2769487834 Enrollment ID: I20100909000942 |
| Provider Name | Amy Wrenn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376140772 PECOS PAC ID: 9830569698 Enrollment ID: I20230112001084 |
| Provider Name | Carol Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598484628 PECOS PAC ID: 7214301183 Enrollment ID: I20230315001850 |
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