Karel Shamyl Ortiz-tavarez

MD | Pediatrics | Male

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Complete Profile:

Karel Shamyl Ortiz-tavarez basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics
Provider Name :	Karel Shamyl Ortiz-tavarez
Credential :	MD
Gender :	Male

Business Address:

Karel Shamyl Ortiz-tavarez address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	2501 N Orange Ave Ste 446 Orlando, FL, 32804-4644 United States
Phone Number :	407-975-0412

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1659830883
NPI Entity Type :	Individual
First Enrolment Date :	18 Mar, 2019
Last Updated On :	08 Feb, 2023

Medicare Participation:

Karel Shamyl Ortiz-tavarez participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	3476922022
Medicare Enrollment ID :	I20221205000084
Primary Specialty :	Emergency Medicine
Medical School :	Other
Graduation Year :	2015
Accepts Medicare?	Yes. Karel Shamyl Ortiz-tavarez accepts medicare insurance.

Group Practice Association:

Karel Shamyl Ortiz-tavarez is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Karel Shamyl Ortiz-tavarez is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Florida Hospital Medical Group Inc	0749186153	1116	2600 Westhall Ln Fl 4 Maitland, FL - 327517102 Ph: 4072002700	Yes
Florida Hospital Medical Group Inc	0749186153	1116	601 E Rollins St Orlando, FL - 328031248	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Karel Shamyl Ortiz-tavarez are as mentioned. Primary taxonomy code for Karel Shamyl Ortiz-tavarez, MD is 208000000X (Pediatrics).

Taxonomy Code	Speciality	Primary	License No.	State
208M00000X	Hospitalist	No	ME157939	FL
208000000X	Pediatrics	Yes	ME157939	FL

Other Practice Locations:

Practice Address	City, State	Phone Number
841 PRUDENTIAL DR STE 1130, JACKSONVILLE, FL, 32207-8331 United States	JACKSONVILLE, FL	904-633-4199
1500 SW 1ST AVE, OCALA, FL, 34471-6504 United States	OCALA, FL	407-975-0412

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	601 E Rollins St Orlando, FL, 32803-1248 United States
Phone Number :	407-975-0412

Business Location:

Patients can refer following map for directions to Karel Shamyl Ortiz-tavarez practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.