Healthcare Provider Details

I. General information

NPI: 1861663379
Provider Name (Legal Business Name): JEWISH FAMILY SERVICES OF GREATER ORLANDO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2008
Last Update Date: 01/09/2025
Certification Date: 01/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 LEE RD
WINTER PARK FL
32789-1862
US

IV. Provider business mailing address

501 N ORLANDO AVE STE 313
WINTER PARK FL
32789-7310
US

V. Phone/Fax

Practice location:
  • Phone: 407-644-7593
  • Fax: 407-209-0289
Mailing address:
  • Phone: 407-644-7593
  • Fax: 407-209-0289

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. PHIL FLYNN III
Title or Position: EXCUTIVE DIRECTOR
Credential:
Phone: 407-644-7593