Healthcare Provider Details

I. General information

NPI: 1306550231
Provider Name (Legal Business Name): ACCESS HEALTH PLUS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2023
Last Update Date: 10/04/2023
Certification Date: 10/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 PARK PLACE BLVD STE 4
KISSIMMEE FL
34741-2373
US

IV. Provider business mailing address

122 W SPROULE AVE STE 130
KISSIMMEE FL
34741-5048
US

V. Phone/Fax

Practice location:
  • Phone: 407-670-9557
  • Fax:
Mailing address:
  • Phone: 407-670-9557
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: JUAN RODRIGUEZ
Title or Position: DIRECTOR OF 340B OPERATIONS
Credential:
Phone: 407-670-9557