Healthcare Provider Details
I. General information
NPI: 1346145380
Provider Name (Legal Business Name): SIGN ORLANDO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/09/2026
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1223 18TH ST
ORLANDO FL
32805-4671
US
IV. Provider business mailing address
1223 18TH ST
ORLANDO FL
32805-4671
US
V. Phone/Fax
- Phone: 407-900-7370
- Fax:
- Phone: 407-900-7370
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 183700000X |
| Taxonomy | Pharmacy Technician |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 246RP1900X |
| Taxonomy | Phlebotomy Technician |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name: MR.
TYLER
SAMUEL
ORLANDO
Title or Position: CERTIFIED PHLEBOTOMY TECHNICIAN
Credential: PBT (ASCP)CM
Phone: 407-900-7370