Provider Demographics
NPI:1699422964
Name:ORLANDO, JAMES JOSEPH
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:JOSEPH
Last Name:ORLANDO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 W KENNEDY BLVD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606-1450
Mailing Address - Country:US
Mailing Address - Phone:813-253-6211
Mailing Address - Fax:
Practice Address - Street 1:7413 ALAFIA RIDGE LOOP
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33569-4773
Practice Address - Country:US
Practice Address - Phone:813-541-8450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-07
Last Update Date:2022-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9115638363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant