1336959428 NPI number — BLISS SPECIALTY HEALTHCARE GROUP

Table of content: (NPI 1336959428)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336959428 NPI number — BLISS SPECIALTY HEALTHCARE GROUP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BLISS SPECIALTY HEALTHCARE GROUP
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:
1336959428
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/14/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6388 SILVER STAR RD STE 2H
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:
32818-3235
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
407-704-1771
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3468 EAST 130TH STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CLEVELAND
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44120
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
407-704-1771
Provider Business Practice Location Address Fax Number:
866-341-7847
Provider Enumeration Date:
01/10/2025

Additional Information

Authorized Official

Authorized Official Last Name:
ALIU
Authorized Official First Name:
KINGSLEY
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
561-758-9775

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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