Provider Demographics
NPI:1033482088
Name:ODB HEALTH, INC.
Entity Type:Organization
Organization Name:ODB HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OSCAR
Authorized Official - Middle Name:D
Authorized Official - Last Name:BENTINGANAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-568-5317
Mailing Address - Street 1:1836 WOODWARD ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-4256
Mailing Address - Country:US
Mailing Address - Phone:407-568-5317
Mailing Address - Fax:
Practice Address - Street 1:1836 WOODWARD ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-4256
Practice Address - Country:US
Practice Address - Phone:407-568-5317
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-21
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty