Organization · NPI-2

Ab Tel Med

Nurse Practitioner · Orlando, FL

NPI number1144967407
StatusActive
Last updated in NPPESJun 20, 2022

Details

NPI
1144967407
Entity type
Organization (NPI-2)
Legal business name
Ab Tel Med
Organization subpart
No
Enumeration date
May 18, 2022
Certification date
Jun 20, 2022
Last updated
Jun 20, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner––Yes

Practice location

618 E South St Ste 500
Orlando, FL 32801-2986

Phone 407-495-1070

Mailing address

618 E South St Ste 500
Orlando, FL 32801-2986

Phone 407-495-1070

Authorized official

Jayaram Brindala
Ambr
4074951070

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Nurse Practitioner providers in Orlando, FL