Provider Demographics
NPI:1326313438
Name:ORLANDO HEALTH
Entity Type:Organization
Organization Name:ORLANDO HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESIDENT DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:RUGGERI
Authorized Official - Last Name:NOVAK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-751-9464
Mailing Address - Street 1:2 CLIFFHOUSE BLF
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92657-2132
Mailing Address - Country:US
Mailing Address - Phone:949-751-9464
Mailing Address - Fax:
Practice Address - Street 1:2 CLIFFHOUSE BLF
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92657-2132
Practice Address - Country:US
Practice Address - Phone:949-751-9464
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-22
Last Update Date:2012-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital