Healthcare Provider Details

I. General information

NPI: 1831722529
Provider Name (Legal Business Name): ALLIED HEALTH ORGANIZATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2020
Last Update Date: 03/17/2023
Certification Date: 03/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33041 PROFESSIONAL DR STE 102
LEESBURG FL
34788-3761
US

IV. Provider business mailing address

522 W LAKE MARY BLVD STE B
SANFORD FL
32773-7467
US

V. Phone/Fax

Practice location:
  • Phone: 844-593-2160
  • Fax:
Mailing address:
  • Phone: 844-593-2160
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALEJANDRO J CASTRO
Title or Position: ORGANIZATION DIRECTOR
Credential:
Phone: 844-593-2160