Healthcare Provider Details
I. General information
NPI: 1720096274
Provider Name (Legal Business Name): ORLANDO REGIONAL HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/03/2006
Last Update Date: 03/07/2022
Certification Date: 03/07/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
601 W MICHIGAN ST
ORLANDO FL
32805-6203
US
IV. Provider business mailing address
601 W MICHIGAN ST
ORLANDO FL
32805-6203
US
V. Phone/Fax
- Phone: 407-317-7430
- Fax: 407-843-9027
- Phone: 407-317-7430
- Fax: 407-843-9027
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TS0200X |
| Taxonomy | School Psychologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 170100000X |
| Taxonomy | Ph.D. Medical Genetics |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MICHELE
NAPIER
Title or Position: VP, REVENUE MANAGEMENT & CRO
Credential:
Phone: 321-841-3492