MEDICARE: OHRI, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0200X	Radiology Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053701631
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OHRI, LLC

Provider Business Mailing Address
First Line	:	398 E ALTAMONTE DR
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32701-4402
Country	:	US
Telephone Number	:	407-331-9355
Fax Number	:	407-331-9481

Provider Business Practice Location Address
First Line	:	572 OCOEE COMMERCE PKWY
Second Line	:
City	:	OCOEE
State	:	FL
Zip	:	34761-4219
Country	:	US
Telephone Number	:	407-228-6635
Fax Number	:	407-228-6636

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. KATHRYN M GARRETT
Credential	:	MD
Telephone Number	:	407-331-9355

Provider Enumeration Date	:	02/03/2015
Last Update Date	:	04/20/2020

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Directions to “OHRI, LLC ” Practice Location

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