Healthcare Provider Details

I. General information

NPI: 1326906843
Provider Name (Legal Business Name): UPPERLINE HEALTHCARE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2026
Last Update Date: 01/13/2026
Certification Date: 01/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1151 BLACKWOOD AVE STE 150
OCOEE FL
34761-4523
US

IV. Provider business mailing address

1151 BLACKWOOD AVE STE 150
OCOEE FL
34761-4523
US

V. Phone/Fax

Practice location:
  • Phone: 407-877-2900
  • Fax: 833-339-1579
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DAVID VANDIVER THORPE
Title or Position: CEO
Credential:
Phone: 205-807-3009