| Organization Name: | LYMPHEDEMA CLINIC OF ORLANDO, INC |
| NPI Number: | 1558655647 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MOHAMMAD M ESKANDARI (PRESIDENT) |
| Mailing Address: | 2139 W State Road 434 Suite #101 Longwood |
| State: | FL US |
| Postal Code: | 327795019 |
| Phone Number: | 4078656700 |
| Fax Number: | |
| NPI Enumeration Date: | 06/06/2011 |
| NPI Last Update Date: | 11/05/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME100524 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |