Healthcare Provider Details

I. General information

NPI: 1053701631
Provider Name (Legal Business Name): OHRI, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2015
Last Update Date: 04/20/2020
Certification Date: 04/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

572 OCOEE COMMERCE PKWY
OCOEE FL
34761-4219
US

IV. Provider business mailing address

398 E ALTAMONTE DR
ALTAMONTE SPRINGS FL
32701-4402
US

V. Phone/Fax

Practice location:
  • Phone: 407-228-6635
  • Fax: 407-228-6636
Mailing address:
  • Phone: 407-331-9355
  • Fax: 407-331-9481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. KATHRYN M GARRETT
Title or Position: PRESIDENT
Credential: MD
Phone: 407-331-9355