Healthcare Provider Details

I. General information

NPI: 1396685889
Provider Name (Legal Business Name): E SUCCESS HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5329 BLUE GRASS ST
ORLANDO FL
32810-2705
US

IV. Provider business mailing address

5329 BLUE GRASS ST
ORLANDO FL
32810-2705
US

V. Phone/Fax

Practice location:
  • Phone: 855-373-2084
  • Fax:
Mailing address:
  • Phone: 855-373-2084
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CATHY DEE GIOMBLANCO
Title or Position: OWNER
Credential: NP
Phone: 954-393-4219