Provider Demographics
NPI:1437486339
Name:ORLANDO HEALTH CLINIC LLC
Entity Type:Organization
Organization Name:ORLANDO HEALTH CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR/ MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:HOADUC
Authorized Official - Last Name:DANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-401-2690
Mailing Address - Street 1:9942 OAK QUARRY DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32832-5648
Mailing Address - Country:US
Mailing Address - Phone:407-895-5441
Mailing Address - Fax:407-895-5443
Practice Address - Street 1:1212 WOODWARD ST STE 5
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-4173
Practice Address - Country:US
Practice Address - Phone:407-895-5441
Practice Address - Fax:407-895-5443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-13
Last Update Date:2011-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME98622261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center