Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | ME0077114 | FL |
NPI | 1013910314 |
---|---|
Provider Name | Rolando Amadeo |
First Address | Maitland, FL 32751-4473 |
Second Address | Maitland, FL 32751-4473 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2005 |
Last Update Date | 24/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
032763 | NEIGHBORHOOD HEALTH (01) | FL |
2332362 | AETNA PPO (01) | FL |
2351409 | AETNA HMO (01) | FL |
269835 | AVMED (01) | FL |
46242 | BCBS (01) | FL |
5035771001 | CIGNA (01) | FL |
G91439 | (02) | FL |