MEDICARE: ORANGE COUNTY BOARD OF COUNTY COMMISSIONERS

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	251S00000X	Community/Behavioral Health Agency	SW5207	FL

General Provider Information

NPI Number	:	1720230196
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORANGE COUNTY BOARD OF COUNTY COMMISSIONERS

Provider Business Mailing Address
First Line	:	1718 E MICHIGAN ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-4935
Country	:	US
Telephone Number	:	407-836-7600
Fax Number	:	407-836-7649

Provider Business Practice Location Address
First Line	:	1718 E MICHIGAN ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-4935
Country	:	US
Telephone Number	:	407-897-6370
Fax Number	:

Authorized Official
Title or Position	:	DIVISION MANAGER
Name	:	MR. SYD MCCALLISTER
Credential	:
Telephone Number	:	407-836-7600

Provider Enumeration Date	:	10/16/2008
Last Update Date	:	10/16/2008

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Directions to “ORANGE COUNTY BOARD OF COUNTY COMMISSIONERS ” Practice Location

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