MEDICARE: ORANGE COUNTY BCC

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	101Y00000X	Counselor

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	:	1164451274
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORANGE COUNTY BCC

Provider Business Mailing Address
First Line	:	1718 E MICHIGAN ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-4935
Country	:	US
Telephone Number	:	407-836-9539
Fax Number	:

Provider Business Practice Location Address
First Line	:	1718 E MICHIGAN ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-4935
Country	:	US
Telephone Number	:	407-836-9539
Fax Number	:

Authorized Official
Title or Position	:	PROGRAM MANAGER/CONTRACTS&GRANTS
Name	:	MR. WARREN HARVEY LAKHAN
Credential	:	MPA, CAP
Telephone Number	:	407-836-9539

Provider Enumeration Date	:	07/01/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

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Practice Location Address:

1718 E MICHIGAN ST
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1447763743 — JESSICA MARILYN MARTINEZ LCSW
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1669192720 — MRS. CHRISTINA L SANTA CCMA
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1295987972 — MS. JENNIFER LEE CALAME LCSW
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1275829368 — ORLY DENTAL PC
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Directions to “ORANGE COUNTY BCC ” Practice Location

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