Healthcare Provider Details

I. General information

NPI: 1104730597
Provider Name (Legal Business Name): ORLANDO HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10000 W COLONIAL DR STE 289
OCOEE FL
34761-3432
US

IV. Provider business mailing address

1414 KUHL AVE # MP38
ORLANDO FL
32806-2008
US

V. Phone/Fax

Practice location:
  • Phone: 321-842-4765
  • Fax: 321-842-4767
Mailing address:
  • Phone: 321-842-4765
  • Fax: 321-842-4767

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number StateNULL

VIII. Authorized Official

Name: SHAWN BISHOP
Title or Position: VICE PRESIDENT, REIMBURSEMENT
Credential:
Phone: 321-841-6308