Healthcare Provider Details

I. General information

NPI: 1912007394
Provider Name (Legal Business Name): WEST ORANGE HEALTHCARE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 OLD WINTER GARDEN ROAD
OCOEE FL
34751
US

IV. Provider business mailing address

10000 W COLONIAL DR PATIENT FINANCIAL SERVICES DEPARTMENT
OCOEE FL
34761-3498
US

V. Phone/Fax

Practice location:
  • Phone: 407-656-2055
  • Fax: 407-656-4177
Mailing address:
  • Phone: 407-296-1820
  • Fax: 407-253-1675

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent 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