MEDICARE: ADERIS HEALTH TECHNOLOGIES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	363LP2300X	Primary Care Nurse Practitioner
2	101YM0800X	Mental Health Counselor
3	363LP0200X	Pediatric Nurse Practitioner
4	363L00000X	Nurse Practitioner
5	163W00000X	Registered Nurse
6	2084P0800X	Psychiatry Physician
7	363LW0102X	Women's Health Nurse Practitioner
8	363AM0700X	Medical Physician Assistant
9	101YA0400X	Addiction (Substance Use Disorder) Counselor
10	363LF0000X	Family Nurse Practitioner
11	2083P0901X	Public Health & General Preventive Medicine Physician
12	363LA2200X	Adult Health Nurse Practitioner
13	363A00000X	Physician Assistant
14	207QS0010X	Sports Medicine (Family Medicine) Physician
15	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1124751821
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADERIS HEALTH TECHNOLOGIES

Provider Business Mailing Address
First Line	:	450 S ORANGE AVE FL 3
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32801-3394
Country	:	US
Telephone Number	:	407-212-7113
Fax Number	:	407-871-9240

Provider Business Practice Location Address
First Line	:	450 S ORANGE AVE FL 3
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32801-3394
Country	:	US
Telephone Number	:	407-212-7113
Fax Number	:	407-871-9240

Authorized Official
Title or Position	:	MANAGER
Name	:	RALPH UGARTE
Credential	:
Telephone Number	:	407-305-3791

Provider Enumeration Date	:	07/08/2022
Last Update Date	:	01/26/2026

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