Healthcare Provider Details

I. General information

NPI: 1619369089
Provider Name (Legal Business Name): INTEGRITY HEALTH SERVICES ORLANDO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2015
Last Update Date: 09/20/2023
Certification Date: 09/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

875 CONCOURSE PKWY S STE 135
MAITLAND FL
32751-6147
US

IV. Provider business mailing address

2999 N 44TH ST STE 100
PHOENIX AZ
85018-7247
US

V. Phone/Fax

Practice location:
  • Phone: 407-956-1870
  • Fax: 321-972-2930
Mailing address:
  • Phone: 480-618-5760
  • Fax: 321-972-2930

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberORLANDO LLC
License Number StateFL

VIII. Authorized Official

Name: MR. MICHAEL LOVELL
Title or Position: OWNER/VP
Credential:
Phone: 480-618-5760