1215881826 NPI number — HUMANITARY MEDICAL CENTER ORLANDO, 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 1215881826 NPI number — HUMANITARY MEDICAL CENTER ORLANDO, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HUMANITARY MEDICAL CENTER ORLANDO, 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:
6
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:
1215881826
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/23/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4200 W CYPRESS ST STE 690
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TAMPA
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33607-4112
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
813-468-1866
Provider Business Mailing Address Fax Number:
813-499-1499

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8501 CURRY FORD RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ORLANDO
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32825-8427
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
813-499-1500
Provider Business Practice Location Address Fax Number:
813-499-1499
Provider Enumeration Date:
02/23/2026

Additional Information

Authorized Official

Authorized Official Last Name:
GONZALEZ
Authorized Official First Name:
ELIECER
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
813-468-1866

Provider Taxonomy Codes

  • Taxonomy code: 261QP2300X , registered in the state of NULL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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