Healthcare Provider Details

I. General information

NPI: 1366648636
Provider Name (Legal Business Name): HEALTH. ORLANDO, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2007
Last Update Date: 06/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 PALM SPRINGS DR
ALTAMONTE SPRINGS FL
32701
US

IV. Provider business mailing address

PO BOX 162837
ALTAMONTE SPRINGS FL
32716
US

V. Phone/Fax

Practice location:
  • Phone: 309-303-0355
  • Fax:
Mailing address:
  • Phone: 309-692-0400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number18005065
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number18005065
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036096817
License Number StateIL
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209005204
License Number StateIL
# 5
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209002447
License Number StateIL

VIII. Authorized Official

Name: ANITA SABHARWAL
Title or Position: PRESIDENT
Credential: M.D.
Phone: 309-303-0355