| Central Florida Injury East, Inc | |
|
5555 E Michigan St Suite 102 Orlando FL 32822-2700 | |
| (407) 275-9334 | |
| (407) 275-9395 |
| Full Name | Central Florida Injury East, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5555 E Michigan St, Orlando, Florida |
| Authorized Official Name and Position | Jerold J Fadem (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4072759334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Florida Injury East, Inc 5555 E Michigan St Suite 102 Orlando FL 32822-2700 Ph: (407) 275-9334 | Central Florida Injury East, Inc 5555 E Michigan St Suite 102 Orlando FL 32822-2700 Ph: (407) 275-9334 |
| NPI Number | 1023141819 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 12/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023141819 | NPI | - | NPPES |
| 1023141819 | Other | FL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME 75343 (Florida) | Primary |
| 208D00000X | General Practice | ME 8351 (Florida) | Secondary |
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