=====================================================
General NPI Number Information
=====================================================
NPI Number | 1073146296
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ORLANDO BUSINESS SOLUTIONS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/17/2020
-----------------------------------------------------
Last Update Date | 02/17/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1742 PORTOFINO MEADOWS BLVD
-----------------------------------------------------
City | ORLANDO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32824-4776
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 321-217-2575
-----------------------------------------------------
Fax | 321-250-7463
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2500 W LAKE MARY BLVD STE 107
-----------------------------------------------------
City | LAKE MARY
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32746-3501
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 321-217-2575
-----------------------------------------------------
Fax | 321-250-7463
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MR. ORLANDO RESTITUYO
-----------------------------------------------------
Credential | AB
-----------------------------------------------------
Telephone | 321-217-2575
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 341600000X
-----------------------------------------------------
Taxonomy Name | Ambulance
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------