MEDICARE: BLISS SPECIALTY HEALTHCARE GROUP

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	207R00000X	Internal Medicine Physician

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	:	1164192381
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLISS SPECIALTY HEALTHCARE GROUP

Provider Business Mailing Address
First Line	:	6388 SILVER STAR RD STE 2H
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32818-3235
Country	:	US
Telephone Number	:	407-704-1771
Fax Number	:	866-522-0166

Provider Business Practice Location Address
First Line	:	6388 SILVER STAR RD STE 2H
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32818-3235
Country	:	US
Telephone Number	:	352-205-9149
Fax Number	:	866-341-7847

Authorized Official
Title or Position	:	CEO
Name	:	KINGSLEY ALIU
Credential	:	MD
Telephone Number	:	352-205-9149

Provider Enumeration Date	:	09/18/2021
Last Update Date	:	06/24/2026

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Directions to “BLISS SPECIALTY HEALTHCARE GROUP ” Practice Location

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