Healthcare Provider Details

I. General information

NPI: 1386573863
Provider Name (Legal Business Name): ORLANDO HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1705 KUHL AVE
ORLANDO FL
32806-2024
US

IV. Provider business mailing address

102 W PINELOCH AVE
ORLANDO FL
32806-6100
US

V. Phone/Fax

Practice location:
  • Phone: 321-843-8535
  • Fax:
Mailing address:
  • Phone: 321-843-8535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MRS. ROXANNE BLANCHARD
Title or Position: SENIOR DIRECTOR, AMB PHARMACY SVCS
Credential:
Phone: 321-843-8535