Provider Demographics
NPI:1043523061
Name:ORLANDO EPILEPSY CENTER INC
Entity type:Organization
Organization Name:ORLANDO EPILEPSY CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:H
Authorized Official - Last Name:SADEK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-704-8510
Mailing Address - Street 1:226 W MICHIGAN ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-4446
Mailing Address - Country:US
Mailing Address - Phone:407-704-8380
Mailing Address - Fax:407-704-8572
Practice Address - Street 1:2881 DELANEY AVE STE A&B
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-5411
Practice Address - Country:US
Practice Address - Phone:407-704-8510
Practice Address - Fax:407-203-3015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-19
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2084N0400X
FLHCC10346293D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
No293D00000XLaboratoriesPhysiological LaboratoryGroup - Single Specialty