Central Florida Breast Center, Pa in Winter Park - Surgery

Central Florida Breast Center, Pa - NPI 1306872767

Central Florida Breast Center, Pa is a Surgery in Winter Park, Florida. Central Florida Breast Center, Pa practices all healthcare services and medical treatments related to Surgery. The NPI Number for Central Florida Breast Center, Pa is 1306872767. The last update date is 2008-10-14.

Central Florida Breast Center, Pa's current location address is 2200 Glenwood Dr, Winter Park, Florida. You can contact this provider via phone number 4077405127 and fax number 4077400827. The mailing address for Central Florida Breast Center, Pa is 2200 Glenwood Dr, Winter Park, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Central Florida Breast Center, Pa
Address 2200 Glenwood Dr, Winter Park, Florida
Phone Number 4077405127
Fax Number 4077400827
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Jasani Shahbuddin Aziz
Credentials M.B.A.
Telephone Number 4077405127

NPI Number Detail

NPI Number 1306872767
Provider Enumeration Date 2006-06-25
Last Updated Date 2008-10-14

Provider Mailing Address Detail

Address 2200 Glenwood Dr
City Winter Park
State Florida (FL)
Post Code 327923315
Phone Number 4077405127
Fax Number 4077400827

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No OS0006978
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5339099 FL AETNA ID #
9587978 FL GHI ID #
57169 FL BLUE CROSS BLUE SHIELD ID
1700176 FL UNITED HEALTHCARE ID

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FAQs about Central Florida Breast Center, Pa

What is the unique identification code assigned to Central Florida Breast Center, Pa by the Centers for Medicare & Medicaid Services?

The Central Florida Breast Center, Pa has been issued the NPI (National Provider Identifier) 1306872767. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Central Florida Breast Center, Pa's facilities are geographically located?

The facilities of Central Florida Breast Center, Pa are physically situated at the following location: 2200 Glenwood Dr, Winter Park, FL, 327923315.

What is Central Florida Breast Center, Pa's specialized field of practice, and what is the corresponding taxonomy classification code?

The Central Florida Breast Center, Pa's area of specialization is Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208600000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1306872767 to Central Florida Breast Center, Pa?

The Central Florida Breast Center, Pa received its 1306872767 assignment from the Centers for Medicare & Medicaid Services on 2006-06-25.

When was the information regarding Central Florida Breast Center, Pa most recently updated?

The details pertaining to the Central Florida Breast Center, Pa, including its address, specialty, and other relevant information, were last refreshed on 2008-10-14.

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