MEDICARE: EDMOLY PLANTIJN

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	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1417026220
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDMOLY PLANTIJN

Provider Business Mailing Address
First Line	:	990 N STATE ROAD 434
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-7035
Country	:	US
Telephone Number	:	321-842-3967
Fax Number	:	321-842-3968

Provider Business Practice Location Address
First Line	:	990 N STATE ROAD 434
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-7035
Country	:	US
Telephone Number	:	321-842-3967
Fax Number	:	321-842-3968

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	03/17/2026

Similar Medicare Providers

1316238439 — KOPURI ORTHODONTIST PA
Practice Location Address:

990 N STATE ROAD 434 , SUITE# 1188
ALTAMONTE SPRINGS, FL
32714-7035

Practice Phone: 407-682-0883
Practice Fax:

1992079289 — HEALTHPRO ALLIANCE LLC
Practice Location Address:

990 N SR 434 , SUITE 1128
ALTAMONTE SPRINGS, FL
32714-7035

Practice Phone: 407-865-7977
Practice Fax: 407-865-7975

1851725907 — BELTONE ORLANDO, LLC
Practice Location Address:

990 N STATE ROAD 434 , SUITE 1144
ALTAMONTE SPRINGS, FL
32714-7035

Practice Phone: 904-298-2855
Practice Fax: 904-298-2857

1598164543 — BELTONE ORLANDO, LLC
Practice Location Address:

990 N STATE ROAD 434 , STE 1144
ALTAMONTE SPRINGS, FL
32714-7035

Practice Phone: 407-682-1674
Practice Fax:

1942676200 — MS. REBECCA THOMPSON
Practice Location Address:

990 N STATE ROAD 434 , SUITE 1144
ALTAMONTE SPRINGS, FL
32714-7035

Practice Phone: 407-682-1674
Practice Fax: 407-682-2170

1962490144 — THEODOR ELMOND OSTROM DDS
Practice Location Address:

1145 WILLOW BEND CIR. #2
COLORADO SPRINGS, CO
80918-7035

Practice Phone: 719-594-2050
Practice Fax:

Directions to “ EDMOLY PLANTIJN ” 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.