Irene B Medary
Surgical Critical Care
7340 Stonerock Cir
Orlando
, Florida 32819
Irene B Medary
Surgical Critical Care
7340 Stonerock Cir
Orlando
, Florida 32819
(407) 355-0576
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About
Features
Specialties
- Surgical Critical Care
Languages spoken
- English
Location
First Address
- Irene B Medary
- Po Box 692409
- Orlando, FL
- Zip : 32869-2409
- Fax : (407) 355-0576
- Phone : (407) 355-0575
Second Address
- Irene B Medary
- 7340 Stonerock Cir
- Orlando, FL
- Zip : 32819
- Fax : (407) 355-0576
- Phone : (407) 355-0575
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0102X | Surgical Critical Care | ME58900 | FL |
National Provider Identifier
| NPI | 1356322572 |
|---|---|
| Provider Name | Irene B Medary |
| First Address | Orlando, FL 32869-2409 |
| Second Address | Orlando, FL 32819 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/11/2005 |
| Last Update Date | 16/07/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2153616 | AETNA (01) | FL |
| E97625 | (02) | |
| E97625 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.