Healthcare Provider Details

I. General information

NPI: 1710505458
Provider Name (Legal Business Name): ORLANDO HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2020
Last Update Date: 10/30/2023
Certification Date: 10/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 BLACKWOOD AVE
OCOEE FL
34761-4549
US

IV. Provider business mailing address

PO BOX 568624
ORLANDO FL
32856-8624
US

V. Phone/Fax

Practice location:
  • Phone: 321-843-8535
  • Fax:
Mailing address:
  • Phone: 321-842-1622
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JOHN J GASPELIN
Title or Position: DIRECTOR OF FINANCE
Credential:
Phone: 321-841-6308