Theron M Pettit in Orlando - Internal Medicine
Theron M Pettit - NPI 1245214279
Theron M Pettit is a Internal Medicine in Orlando, Florida. Theron M Pettit practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Theron M Pettit is 1245214279. The last update date is 2023-05-22.
Theron M Pettit's current location address is 5540 E Grant St, Orlando, Florida. You can contact this provider via phone number 4073674706 and fax number 3212034606. The mailing address for Theron M Pettit is 5540 E Grant St, Orlando, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theron M Pettit |
|---|---|
| Address | 5540 E Grant St, Orlando, Florida |
| Phone Number | 4073674706 |
| Fax Number | 3212034606 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1245214279 |
|---|---|
| Provider Enumeration Date | 2005-12-02 |
| Last Updated Date | 2023-05-22 |
Provider Mailing Address Detail
| Address | 5540 E Grant St |
|---|---|
| City | Orlando |
| State | Florida (FL) |
| Post Code | 328221668 |
| Phone Number | 4073674706 |
| Fax Number | 3212034606 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | ME91576 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 272039600 | FL | -- | |
| 64060 | BCBSFL |
Post Comment/ Review Below
What is the unique provider identifier assigned to Theron M Pettit?
The Theron M Pettit has been issued the NPI (National Provider Identifier) 1245214279 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Theron M Pettit is physically located?
The Theron M Pettit is situated at the following address: 5540 E Grant St, Orlando, FL 328221668.
What is Theron M Pettit's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Theron M Pettit is Internal Medicine, and the corresponding taxonomy classification code for this specialized field is 207R00000X.
When did Theron M Pettit receive its 1245214279 assignment?
The Theron M Pettit was assigned its 1245214279 on 2005-12-02, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Theron M Pettit last refreshed?
The information related to the Theron M Pettit, including its address, specialty, and other relevant details, was last updated on 2023-05-22.