Provider Demographics
NPI:1326687765
Name:DOULAS OF ORLANDO, LLC
Entity Type:Organization
Organization Name:DOULAS OF ORLANDO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:LUNA
Authorized Official - Suffix:
Authorized Official - Credentials:CD (DONA)
Authorized Official - Phone:321-804-2969
Mailing Address - Street 1:PO BOX 593743
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32859-3743
Mailing Address - Country:US
Mailing Address - Phone:321-804-2969
Mailing Address - Fax:
Practice Address - Street 1:6644 GUNNELL CT
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809-6525
Practice Address - Country:US
Practice Address - Phone:321-804-2969
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-02
Last Update Date:2020-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty