Healthcare Provider Details
I. General information
NPI: 1598303208
Provider Name (Legal Business Name): HARMONY HEALTHCARE ORLANDO INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/12/2019
Last Update Date: 03/12/2024
Certification Date: 03/12/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
189 S ORANGE AVE STE 1830
ORLANDO FL
32801-3261
US
IV. Provider business mailing address
189 S ORANGE AVE STE 1830
ORLANDO FL
32801-3261
US
V. Phone/Fax
- Phone: 407-777-2022
- Fax:
- Phone: 270-709-9017
- Fax: 407-942-8996
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QC1500X |
| Taxonomy | Community Health Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LC1500X |
| Taxonomy | Community Health Nurse Practitioner |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
PAUL
MATTHEW
VIERA-BRIGGS
Title or Position: NURSE PRACTITIONER
Credential: APRN
Phone: 407-480-7502