Maitland Family Practice

LBN: Maitland Family Practice
Maitland Family Practice is an health care organization with primary practice located at 402 Lake Howell Rd , Maitland FL 32751-5907. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Maitland Family Practice can be contacted via phone (407) 628-4312, or through Waldheim, Eddie C via phone (407) 628-4312.

Contact Information

Primary practice address
402 Lake Howell Rd Maitland FL 32751-5907
Phone: (407) 628-4312
Fax: (407) 628-1845
Website:
Map and Directions
Authorized official contact:
Name: Waldheim, Eddie C Doctor of Medicine (MD)
Phone: (407) 628-4312

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1558464669
LBN Legal business name Maitland Family Practice
DBA Doing business as
Authorized official Waldheim, Eddie C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2006
Last updated Sep 23rd, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558464669 NPPES
Florida MEDICAID 265582900

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