| Organization Name: | CENTRAL FLORIDA INJURY EAST |
| NPI Number: | 1023141819 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEROLD J FADEM (MEDICAL DIRECTOR) |
| Mailing Address: | 5555 E Michigan St Suite 102 Orlando |
| State: | FL US |
| Postal Code: | 328222700 |
| Phone Number: | 4072759334 |
| Fax Number: | 4072759395 |
| NPI Enumeration Date: | 03/13/2007 |
| NPI Last Update Date: | 05/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME 8351 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |