MEDICARE: IMPACT MEDICAL 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	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1245993765
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IMPACT MEDICAL LLC

Provider Business Mailing Address
First Line	:	214 S DILLARD ST
Second Line	:
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-3523
Country	:	US
Telephone Number	:	763-229-3537
Fax Number	:	407-634-3207

Provider Business Practice Location Address
First Line	:	6735 CONROY RD STE 331
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-3568
Country	:	US
Telephone Number	:	407-614-8898
Fax Number	:	407-634-3207

Authorized Official
Title or Position	:	OWNER
Name	:	DR. NICHOLAS HEALY
Credential	:
Telephone Number	:	763-229-3537

Provider Enumeration Date	:	10/21/2021
Last Update Date	:	10/21/2021

Similar Medicare Providers

1962731034 — DANIEL GALELI AP
Practice Location Address:

6735 CONROY RD STE 331
ORLANDO, FL
32835-3568

Practice Phone: 407-844-5506
Practice Fax: 407-540-9565

1952800328 — AH SUNSHINEENTERPRISES INC
Practice Location Address:

6735 CONROY RD STE 326
ORLANDO, FL
32835-3568

Practice Phone: 407-614-6255
Practice Fax:

1023952017 — RAJESH L CHHELAVDA
Practice Location Address:

6735 CONROY RD STE 317
ORLANDO, FL
32835-3568

Practice Phone: 760-709-2220
Practice Fax:

1942276985 — JENNIFER LYNN KOLODCHAK M.D.
Practice Location Address:

1706 N SEMORAN BLVD STE 100
ORLANDO, FL
32807-3568

Practice Phone: 321-804-9110
Practice Fax:

1194153056 — MS. GABRIELA ZAMBRANO-ECONOMICO
Practice Location Address:

982 WAREHOUSE RD APT 20201
ORLANDO, FL
32803-3568

Practice Phone: 845-264-0554
Practice Fax:

1902372816 — RACHEL LEE SANG ARNP
Practice Location Address:

1706 N SEMORAN BLVD STE 100
ORLANDO, FL
32807-3568

Practice Phone: 321-804-9110
Practice Fax:

Directions to “IMPACT MEDICAL LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.