Healthcare Provider Details

I. General information

NPI: 1992619399
Provider Name (Legal Business Name): CLINICCONNECTION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 CLARK ST
OVIEDO FL
32765
US

IV. Provider business mailing address

1170 TREE SWALLOW DR STE 302
WINTER SPRINGS FL
32708-2826
US

V. Phone/Fax

Practice location:
  • Phone: 888-648-6273
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: MATTHEW CHRISTIAN CONLEY
Title or Position: CIO
Credential:
Phone: 888-648-6273