MEDICARE: ASPIRE HEALTH PARTNERS, INC.

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1235730417
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASPIRE HEALTH PARTNERS, INC.

Provider Business Mailing Address
First Line	:	5151 ADANSON ST STE 201
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-1330
Country	:	US
Telephone Number	:	407-875-3700
Fax Number	:

Provider Business Practice Location Address
First Line	:	4520 OAK FAIR BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33610-7356
Country	:	US
Telephone Number	:	813-542-5500
Fax Number	:

Authorized Official
Title or Position	:	COO/CFO
Name	:	LINDA M DAMM
Credential	:
Telephone Number	:	407-875-3700

Provider Enumeration Date	:	11/04/2020
Last Update Date	:	11/04/2020

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