Healthcare Provider Details

I. General information

NPI: 1023927613
Provider Name (Legal Business Name): ALVA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

736 WARWICK PL
ORLANDO FL
32803-6635
US

IV. Provider business mailing address

736 WARWICK PL
ORLANDO FL
32803-6635
US

V. Phone/Fax

Practice location:
  • Phone: 913-579-9693
  • Fax:
Mailing address:
  • Phone: 913-579-9693
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. FIORELLA T DIMITRIJEVIC
Title or Position: FOUNDER
Credential: OTR/L
Phone: 913-579-9696