Healthcare Provider Details

I. General information

NPI: 1528110772
Provider Name (Legal Business Name): HOPE AND HELP CENTER OF CENTRAL FLORIDA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 12/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4122 METRIC DR STE 800
WINTER PARK FL
32792-6809
US

IV. Provider business mailing address

4122 METRIC DR STE 800
WINTER PARK FL
32792-6809
US

V. Phone/Fax

Practice location:
  • Phone: 407-645-2577
  • Fax: 407-866-2793
Mailing address:
  • Phone: 407-645-2577
  • Fax: 407-866-2793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License NumberN24735
License Number StateFL
# 6
Primary TaxonomyN
Taxonomy Code405300000X
TaxonomyPrevention Professional
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. LISA BARR
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 407-645-2577