Basic Information
| Provider Information | |||||||||
| NPI: | 1447243514 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GADALEAN | ||||||||
| FirstName: | FLORIN | ||||||||
| MiddleName: | N. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 807 S ORLANDO AVE | ||||||||
| Address2: | SUITE C | ||||||||
| City: | WINTER PARK | ||||||||
| State: | FL | ||||||||
| PostalCode: | 327894870 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4078944693 | ||||||||
| FaxNumber: | 4075390469 | ||||||||
| Practice Location | |||||||||
| Address1: | 10967 LAKE UNDERHILL RD | ||||||||
| Address2: | SUITE 105 | ||||||||
| City: | ORLANDO | ||||||||
| State: | FL | ||||||||
| PostalCode: | 328254457 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4075152250 | ||||||||
| FaxNumber: | 4073095438 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/24/2005 | ||||||||
| LastUpdateDate: | 01/05/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RN0300X | ME0079592 | FL | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology |
ID Information
| ID | Type | State | Issuer | Description | 06759 | 01 | FL | BCBS | OTHER | 283368 | 01 | FL | AVMED | OTHER | 263566600 | 05 | FL | MEDICAID | P00192030 | 01 | FL | RAILROAD MEDICARE | OTHER |