1558533893 NPI number — ORLANDO HEALTH PHYSICIAN PARTNERS INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1558533893 NPI number — ORLANDO HEALTH PHYSICIAN PARTNERS INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ORLANDO HEALTH PHYSICIAN PARTNERS INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1558533893
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/27/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 919248
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ORLANDO
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32891-9248
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
407-834-8111
Provider Business Mailing Address Fax Number:
407-834-8506

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
785 PRIMERA BLVD
Provider Second Line Business Practice Location Address:
SUITE 1031
Provider Business Practice Location Address City Name:
LAKE MARY
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32746-2124
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
407-834-8111
Provider Business Practice Location Address Fax Number:
407-834-8506
Provider Enumeration Date:
03/27/2008

Additional Information

Authorized Official

Authorized Official Last Name:
EGGERT
Authorized Official First Name:
KEITH
Authorized Official Middle Name:
Authorized Official Title or Position:
VP REVENUE MANAGEMENT
Authorized Official Telephone Number:
407-237-6393

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com