Provider Demographics
NPI:1417638701
Name:ORLANDO THERAPY CENTER, INC
Entity Type:Organization
Organization Name:ORLANDO THERAPY CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANDREY
Authorized Official - Middle Name:
Authorized Official - Last Name:MENENDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-219-4966
Mailing Address - Street 1:2606 NW 6TH ST STE H
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32609-2974
Mailing Address - Country:US
Mailing Address - Phone:407-930-2080
Mailing Address - Fax:407-641-8841
Practice Address - Street 1:2606 NW 6TH ST STE H
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32609-2974
Practice Address - Country:US
Practice Address - Phone:407-930-2080
Practice Address - Fax:407-641-8841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-28
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251S00000XAgenciesCommunity/Behavioral Health