Provider Demographics
NPI:1992736565
Name:CICILIONI, ORLANDO JOSEPH JR (MD)
Entity type:Individual
Prefix:DR
First Name:ORLANDO
Middle Name:JOSEPH
Last Name:CICILIONI
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 8670
Mailing Address - Street 2:
Mailing Address - City:LONGBOAT KEY
Mailing Address - State:FL
Mailing Address - Zip Code:34228-8670
Mailing Address - Country:US
Mailing Address - Phone:941-388-1110
Mailing Address - Fax:941-388-1119
Practice Address - Street 1:2501 N ORANGE AVE
Practice Address - Street 2:SUITE 209
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-4603
Practice Address - Country:US
Practice Address - Phone:407-681-3223
Practice Address - Fax:407-681-0976
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
FLME0065746208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL7776124OtherAETNA NUMBER
FL257265600Medicaid
FL7201168OtherCIGNA
FL13-00091OtherUNITED HEALTH CARE
FL46641OtherBLUE CROSS/BLUE SHIELD
FL7776124OtherAETNA NUMBER
FL46641OtherBLUE CROSS/BLUE SHIELD