Healthcare Provider Details

I. General information

NPI: 1205143088
Provider Name (Legal Business Name): THE VIEW AT WINTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2010
Last Update Date: 07/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1047 PRINCESS GATE BLVD
WINTER PARK FL
32792
US

IV. Provider business mailing address

1047 PRINCESS GATE BLVD
WINTER PARK FL
32792-6128
US

V. Phone/Fax

Practice location:
  • Phone: 407-844-0688
  • Fax: 407-688-1514
Mailing address:
  • Phone: 407-673-2853
  • Fax: 407-688-1514

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320700000X
TaxonomyPhysical Disabilities Residential Treatment Facility
License NumberAL11093
License Number StateFL

VIII. Authorized Official

Name: MR. PEDRO PORTUONDO
Title or Position: ADMINISTRATOR/ CEO
Credential: B.A.
Phone: 407-844-0688