Provider Demographics
NPI:1033742317
Name:LA MAJESTY HEALTH CARE LLC2
Entity Type:Organization
Organization Name:LA MAJESTY HEALTH CARE LLC2
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLY
Authorized Official - Middle Name:
Authorized Official - Last Name:NOEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-461-5981
Mailing Address - Street 1:1674 PLEASANT HILL RD
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34746-3954
Mailing Address - Country:US
Mailing Address - Phone:407-350-4840
Mailing Address - Fax:407-350-5806
Practice Address - Street 1:1805 W COLONIAL DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-7011
Practice Address - Country:US
Practice Address - Phone:407-350-4840
Practice Address - Fax:407-350-5806
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LA MAJESTY HEALTH CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-02-14
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty