Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chad Michael Hietschold

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1528563137

Chad Michael Hietschold is a Student in an Organized Health Care Education/Training Program in Orlando, Florida. Licensed in Florida. Registered with an NPI since 2018.

Licensed in
FL
In the registry since
2018
Specialties on file
2

Practice location Address checks out

7975 Lake Underhill Rd
Orlando, FL 32822-8202
Phone: (407) 303-6830
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X · Licence OS17435 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1528563137
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 26, 2018
Last updated in NPPESMay 31, 2021
Certification dateMay 31, 2021
Mailing address2501 N Orange Ave Ste 235, Orlando, FL 32804-4659

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