1225039506 NPI number — DR. OSWALD T SAAVEDRA MD

Table of content: DR. OSWALD T SAAVEDRA MD (NPI 1225039506)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225039506 NPI number — DR. OSWALD T SAAVEDRA MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SAAVEDRA
Provider First Name:
OSWALD
Provider Middle Name:
T
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1225039506
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/15/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7300 SANDLAKE COMMONS BLVD
Provider Second Line Business Mailing Address:
STE 315
Provider Business Mailing Address City Name:
ORLANDO
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32819-8050
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
407-849-0227
Provider Business Mailing Address Fax Number:
407-423-5484

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7300 SANDLAKE COMMONS BLVD
Provider Second Line Business Practice Location Address:
STE 315
Provider Business Practice Location Address City Name:
ORLANDO
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32819-8050
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
407-849-0227
Provider Business Practice Location Address Fax Number:
407-423-5484
Provider Enumeration Date:
08/09/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  ME26314 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 110002317 . This is a "RAILROAD MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 039919100 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com