Healthcare Provider Details

I. General information

NPI: 1083565311
Provider Name (Legal Business Name): SEQUOYAH STAFFING AGENCY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2026
Last Update Date: 02/04/2026
Certification Date: 02/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5350 CURRY FORD RD STE A
ORLANDO FL
32812-8803
US

IV. Provider business mailing address

5350 CURRY FORD RD STE A
ORLANDO FL
32812-8803
US

V. Phone/Fax

Practice location:
  • Phone: 407-749-9651
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: TRUETTE RALPH WYMAN IV
Title or Position: BUSINESS DEVELOPER
Credential:
Phone: 407-212-7470