Healthcare Provider Details

I. General information

NPI: 1821813759
Provider Name (Legal Business Name): WHISPERING GRACE PARTNERS CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2024
Last Update Date: 11/15/2024
Certification Date: 11/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11136 BUGENHAGEN DR
ORLANDO FL
32832-7032
US

IV. Provider business mailing address

11136 BUGENHAGEN DR
ORLANDO FL
32832-7032
US

V. Phone/Fax

Practice location:
  • Phone: 917-670-5908
  • Fax:
Mailing address:
  • Phone: 917-670-5908
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GREGORIE CONSTANT-PETER
Title or Position: CHIEF MEDICAL OFFICER
Credential: MD
Phone: 917-670-5908