Healthcare Provider Details

I. General information

NPI: 1598942179
Provider Name (Legal Business Name): SILEXA SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2008
Last Update Date: 01/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7439 HIGH LAKE DR
ORLANDO FL
32818-8722
US

IV. Provider business mailing address

7439 HIGH LAKE DR
ORLANDO FL
32818-8722
US

V. Phone/Fax

Practice location:
  • Phone: 407-298-0315
  • Fax: 407-292-1343
Mailing address:
  • Phone: 407-298-0315
  • Fax: 407-292-1343

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateFL

VIII. Authorized Official

Name: MISS ALEXIS BRITTANY GAY
Title or Position: DIRECTOR
Credential:
Phone: 407-298-0315