Healthcare Provider Details

I. General information

NPI: 1932088333
Provider Name (Legal Business Name): PRIMROSE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2025
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2733 S FERN CREEK AVE
ORLANDO FL
32806-5538
US

IV. Provider business mailing address

2733 S FERN CREEK AVE
ORLANDO FL
32806-5538
US

V. Phone/Fax

Practice location:
  • Phone: 407-898-7201
  • Fax: 407-898-2120
Mailing address:
  • Phone: 407-898-7201
  • Fax: 407-898-2120

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE LAWRENCE
Title or Position: DIRECTOR OF HR & COMPLIANCE
Credential:
Phone: 407-898-7201