Brenda Deforrest Od Pa in Orlando - Clinic/center
Brenda Deforrest Od Pa - NPI 1477733780
Brenda Deforrest Od Pa is a Clinic/center in Orlando, Florida. Brenda Deforrest Od Pa practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Brenda Deforrest Od Pa is 1477733780. The last update date is 2008-06-02.
Brenda Deforrest Od Pa's current location address is 4884 S Kirkman Rd, Orlando, Florida. You can contact this provider via phone number 4072898819. The mailing address for Brenda Deforrest Od Pa is 4884 S Kirkman Rd, Orlando, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brenda Deforrest Od Pa |
|---|---|
| Address | 4884 S Kirkman Rd, Orlando, Florida |
| Phone Number | 4072898819 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Deforrest Brenda |
| Credentials | OD |
| Telephone Number | 4072988819 |
NPI Number Detail
| NPI Number | 1477733780 |
|---|---|
| Provider Enumeration Date | 2007-11-05 |
| Last Updated Date | 2008-06-02 |
Provider Mailing Address Detail
| Address | 4884 S Kirkman Rd |
|---|---|
| City | Orlando |
| State | Florida (FL) |
| Post Code | 328113641 |
| Phone Number | 4072898819 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | FL2617 |
|
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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What is the unique provider identifier assigned to Brenda Deforrest Od Pa?
The Brenda Deforrest Od Pa has been issued the NPI (National Provider Identifier) 1477733780 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Brenda Deforrest Od Pa located?
The Brenda Deforrest Od Pa is located at 4884 S Kirkman Rd, Orlando, FL 328113641.
What is the Brenda Deforrest Od Pa's area of specialization and corresponding taxonomy classification?
The Brenda Deforrest Od Pa's specialty field is Clinic/center, and it falls under the taxonomy code 261Q00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1477733780 assigned to Brenda Deforrest Od Pa?
The Brenda Deforrest Od Pa was issued its 1477733780 on 2007-11-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Brenda Deforrest Od Pa most recently updated or revised?
The details related to Brenda Deforrest Od Pa, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-02.
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