Healthcare Provider Details

I. General information

NPI: 1245798255
Provider Name (Legal Business Name): LP ORLANDO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2019
Last Update Date: 03/11/2024
Certification Date: 03/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 ALSTON BAY BLVD
APOPKA FL
32703
US

IV. Provider business mailing address

4042 PARK OAKS BLVD STE 300
TAMPA FL
33610-9539
US

V. Phone/Fax

Practice location:
  • Phone: 813-635-9500
  • Fax:
Mailing address:
  • Phone: 813-675-2289
  • Fax: 888-297-9695

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY ANN PETERS
Title or Position: VICE PRESIDENT
Credential:
Phone: 813-415-7589