person
Chad Michael Hietschold
Adult Medicine Physician in Orlando, Florida
NPI 1528563137

Chad Michael Hietschold is an Adult Medicine Physician based in Orlando, FL and is specialized in Adult Medicine. Chad Michael Hietschold practices in Orlando, FL. The NPI Number for Chad Michael Hietschold is 1528563137 and holds a License No. (Florida).

The current practice location address for Chad Michael Hietschold is 7975 Lake Underhill Rd, Orlando, FL and can be reached out via phone at 407-303-6830.

Location: 7975 Lake Underhill Rd, Orlando, FL, 32804-4659
person
Provider Profile Details
NPI Number
1528563137
Provider Name
Chad Michael Hietschold
Credential
Provider Entity Type
Individual
Gender
Male
Address
7975 Lake Underhill Rd, Orlando, FL, 32804-4659
Phone Number
407-303-6830
Fax Number
Provider Enumeration Date
03/26/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1528563137 05 FL
institution
Provider Business Practice Location Address Details
Address
7975 Lake Underhill Rd
City
State
Zip
32822-8202
Phone Number
407-303-6830
Fax Number
person
Provider Business Mailing Address Details
Address
7975 Lake Underhill Rd
City
State
Zip
32822-8202
Phone Number
407-303-6830
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
License No.
OS17435 (Florida)
Definition
Definition to come.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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