DR. DARIUSZ GRZEGORZ MYDLARZ (NPI# 1063494631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063494631 |
| Entity Type | Individual |
| Full Name | DR. DARIUSZ GRZEGORZ MYDLARZ |
| Credential | M.D. |
| Practice Address |
6336 W Colonial Dr Orlando FL 32818-7812 |
| Mailing Address |
6416 Old Winter Garden Rd Orlando FL 32835-1348 |
| Practice Telephone | 4072195200 |
| Practice Fax Number | 3212818700 |
| Mailing Telephone | 4077517288 |
| Mailing Fax Number | 4077700661 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2019-03-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | ME139388 | FL | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 0101235066 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICAL LICENSE | ME139388 | 01 |
| Street Address |
6336 W COLONIAL DR |
| City | ORLANDO |
| State | FL |
| Zip Code | 32818-7812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225422074 | Valeria Cristina Baldivieso Hurtado | Family Medicine | 6336 W Colonial Dr, Orlando, FL 32818-7812 | 2015-03-18 |
| 1861782617 | Rosalynn Jeanne Hamilton | Nurse Practitioner | 6336 W Colonial Dr, Orlando, FL 32818-7812 | 2011-04-13 |
| 1083870521 | Yaritza Salgado | Internal Medicine | 6336 W Colonial Dr, Orlando, FL 32818-7812 | 2008-08-04 |
| 1396792727 | David Priscal | Family Medicine | 6336 W Colonial Dr, Orlando, FL 32818-7812 | 2006-05-30 |
| 1942252689 | Family Physicians of Winter Park | Family Medicine | 6336 W Colonial Dr, Orlando, FL 32818-7812 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285275206 | Shareen Sutherland | Nurse Practitioner | 1896 Lake Hill Circle, Orlando, FL 32818 | 2019-10-01 |
| 1235611245 | Welcome Home Wellness Center LLC | Clinic/Center | 7732 Silver Star Rd Ste 2, Orlando, FL 32818 | 2018-09-06 |
| 1245712603 | Palm Coast Urgent Care | General Practice | 6388 Silver Star Rd Suite 1c, Orlando, FL 32818 | 2018-09-02 |
| 1598283418 | 2 Heart To Heart Group Home, Inc | Homemaker | 6617 Kristin Ct, Orlando, FL 32818 | 2017-08-30 |
| 1508383159 | Adancia Sainte Ducleron | Behavior Technician | 8315 Snowfire Dr, Orlando, FL 32818 | 2017-08-24 |
| 1891210910 | Eddie L. Banks Jr. | Counselor | 2724 Silkwood Cir., 927, Orlando, FL 32818 | 2017-08-09 |
| 1275077018 | Mirlande Nelson | Specialist | 501 W Colonial Dr, Orlando, FL 32818 | 2016-12-13 |
| 1477906782 | Adrain Yvette Lee | Nurse Practitioner | 6388 Silver Star Rd Ste 2b, Orlando, FL 32818 | 2016-07-21 |
| 1013389659 | Jessica Jocelyn | Speech-Language Pathologist | 6727 Meritmoor Circle, Orlando, FL 32818 | 2015-10-22 |
| 1104226745 | Emmanuella Delorme | Behavior Technician | 7225 Woodridge Park Dr, 8102, Orlando, FL 32818 | 2014-09-02 |
| Find all providers in zip 32818 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356961411 | Ileana Padilla | General Practice | 11521 Solaya Way Unit 307, Orlando, FL 32821-9453 | 2020-04-19 |
| 1376172965 | Sky Counseling Services LLC | General Practice | 12701 S John Young Pkwy Ste 202, Orlando, FL 32837-3422 | 2020-04-06 |
| 1174162853 | Gamalier Mestre | General Practice | 6001 Vineland Rd Ste 104, Orlando, FL 32819-7829 | 2019-12-30 |
| 1902448228 | Amilys Garcia Martin | General Practice | 1140 S Semoran Blvd Ste E, Orlando, FL 32807-1459 | 2019-10-09 |
| 1376005009 | Rejuvenation Care Clinic of Central Florida | General Practice | 12221 E Colonial Dr Apt 1105, Orlando, FL 32826-4762 | 2019-04-02 |
| 1073082236 | Medical Golden Clinic LLC | General Practice | 4365 Hunters Park Ln # 10, Orlando, FL 32837-7614 | 2018-11-16 |
| 1245712603 | Palm Coast Urgent Care | General Practice | 6388 Silver Star Rd Suite 1c, Orlando, FL 32818 | 2018-09-02 |
| 1366958910 | Orlando Therapy Center, Inc | General Practice | 6900 S Orange Blossom Trl Ste 300, Orlando, FL 32809-5736 | 2017-12-19 |
| 1679084164 | H&h Care Center LLC | General Practice | 707 Mendham Blvd Ste 104, Orlando, FL 32825-3245 | 2017-10-24 |
| 1356871735 | Rebeca Lidia Perez Sanchez | General Practice | 13017 Islamorada Dr, Orlando, FL 32837-4789 | 2017-06-18 |
| Find all providers in ORLANDO | ||||
Please comment or provide details below to improve the information on DR. DARIUSZ GRZEGORZ MYDLARZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.