| Orlando Infectious Disease Consultancy Services Pl | |
|
1182 Cypress Glen Cir Kissimmee FL 34741-7560 | |
| (407) 350-5917 | |
| (407) 350-5928 |
| Full Name | Orlando Infectious Disease Consultancy Services Pl |
|---|---|
| Speciality | Internal Medicine |
| Location | 1182 Cypress Glen Cir, Kissimmee, Florida |
| Authorized Official Name and Position | Mariam Adam Esat (PRESIDENT) |
| Authorized Official Contact | 4073505917 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orlando Infectious Disease Consultancy Services Pl 4156 Brookmyra Dr Orlando FL 32837-5109 Ph: (321) 228-0073 | Orlando Infectious Disease Consultancy Services Pl 1182 Cypress Glen Cir Kissimmee FL 34741-7560 Ph: (407) 350-5917 |
| NPI Number | 1881769685 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 12/26/2014 |
| Medicare PECOS PAC ID | 3971606575 |
|---|---|
| Medicare Enrollment ID | O20070320000594 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881769685 | NPI | - | NPPES |
| 268403900 | Medicaid | FL | |
| DF5048 | Other | FL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME88164 (Florida) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | ME88164 (Florida) | Primary |
| Provider Name | Mariam A Esat |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982681185 PECOS PAC ID: 0042102303 Enrollment ID: I20040330000161 |
| Provider Name | Julie J Chirayil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831545334 PECOS PAC ID: 0042508632 Enrollment ID: I20161014000284 |
| Provider Name | Mirtha N Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639613375 PECOS PAC ID: 1951688803 Enrollment ID: I20170503000779 |
| Provider Name | Sandra Rozier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033564331 PECOS PAC ID: 4688965403 Enrollment ID: I20171016002775 |
| Provider Name | Puttida Vorapipatana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750927257 PECOS PAC ID: 4688088701 Enrollment ID: I20210202000991 |
| Provider Name | Erisdanys Carballeda Puebla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811570328 PECOS PAC ID: 4688064660 Enrollment ID: I20211206002647 |
| Provider Name | Taylor Elizabeth Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154021905 PECOS PAC ID: 5496113052 Enrollment ID: I20230614002380 |
| Provider Name | Nakia Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417628934 PECOS PAC ID: 9133589567 Enrollment ID: I20230718000592 |
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