Healthcare Provider Details
I. General information
NPI: 1366533572
Provider Name (Legal Business Name): WEST ORANGE HEALTHCARE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/27/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10000 W COLONIAL DRIVE
OCOEE FL
34761-3498
US
IV. Provider business mailing address
10000 W COLONIAL DRIVE
OCOEE FL
34761-3498
US
V. Phone/Fax
- Phone: 407-296-1000
- Fax: 407-253-1675
- Phone: 407-296-1820
- Fax: 407-253-1675
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
ALAN
L
CROWELL
Title or Position: SR VP CFO
Credential:
Phone: 407-296-1806