Healthcare Provider Details

I. General information

NPI: 1891631230
Provider Name (Legal Business Name): THC & CO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

243 W KENNEDY BLVD
ORLANDO FL
32810-6293
US

IV. Provider business mailing address

4751 LUMINOUS LOOP APT 316
KISSIMMEE FL
34746-2091
US

V. Phone/Fax

Practice location:
  • Phone: 407-494-9442
  • Fax:
Mailing address:
  • Phone: 407-494-9442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: TAIYA JOSENVILE
Title or Position: OWNER
Credential:
Phone: 407-494-9442