Healthcare Provider Details

I. General information

NPI: 1679601751
Provider Name (Legal Business Name): ORLANDO REGIONAL HEALTH NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 05/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7236 STONEROCK CIR
ORLANDO FL
32819-8000
US

IV. Provider business mailing address

7236 STONEROCK CIR
ORLANDO FL
32819-8000
US

V. Phone/Fax

Practice location:
  • Phone: 407-354-1202
  • Fax: 407-351-8801
Mailing address:
  • Phone: 407-354-1202
  • Fax: 407-351-8801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. KEITH EGGERT
Title or Position: VP, REVENUE MANAGEMENT
Credential:
Phone: 407-237-6393