Healthcare Provider Details

I. General information

NPI: 1154475192
Provider Name (Legal Business Name): ORLANDO HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 07/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 W PINELOCH AVE SUITE 23
ORLANDO FL
32806-6100
US

IV. Provider business mailing address

102 W PINELOCH AVE SUITE 23
ORLANDO FL
32806-6100
US

V. Phone/Fax

Practice location:
  • Phone: 407-644-2433
  • Fax:
Mailing address:
  • Phone: 407-853-3100
  • Fax: 321-843-6760

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateFL

VIII. Authorized Official

Name: MR. KEITH EGGERT
Title or Position: VP, REVENUE MANAGEMENT
Credential:
Phone: 407-650-5028