Healthcare Provider Details

I. General information

NPI: 1144713645
Provider Name (Legal Business Name): INSPIRE HEALTHCARE CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2018
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

788 MONTGOMERY AVE SUITE 104
OCOEE FL
34761-3102
US

IV. Provider business mailing address

788 MONTGOMERY AVE SUITE 104
OCOEE FL
34761-3102
US

V. Phone/Fax

Practice location:
  • Phone: 407-299-3166
  • Fax: 407-299-3172
Mailing address:
  • Phone: 407-299-3166
  • Fax: 407-299-3172

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. ADRAIN Y LEE
Title or Position: PRESIDENT
Credential: APRN
Phone: 407-299-3166