Provider Demographics
NPI:1134556913
Name:CENTRAL FLORIDA INFECTIOUS DISEASE SPECIALISTS LLC
Entity type:Organization
Organization Name:CENTRAL FLORIDA INFECTIOUS DISEASE SPECIALISTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HARRINARINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MADHOSINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-353-6262
Mailing Address - Street 1:109 FOREST PARK CT.
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32779-5801
Mailing Address - Country:US
Mailing Address - Phone:407-353-6262
Mailing Address - Fax:888-965-5109
Practice Address - Street 1:400 CELEBRATION PL STE A120
Practice Address - Street 2:
Practice Address - City:CELEBRATION
Practice Address - State:FL
Practice Address - Zip Code:34747-4970
Practice Address - Country:US
Practice Address - Phone:407-353-6262
Practice Address - Fax:888-965-5109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-10
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME94357207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHP078AMedicare UPIN