Provider Demographics
NPI:1477373157
Name:MATCH POINT ORLANDO, LLC
Entity type:Organization
Organization Name:MATCH POINT ORLANDO, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:PIEGZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-310-1078
Mailing Address - Street 1:543 N WYMORE RD STE 103
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-4270
Mailing Address - Country:US
Mailing Address - Phone:843-310-1078
Mailing Address - Fax:
Practice Address - Street 1:543 N WYMORE RD STE 103
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-4270
Practice Address - Country:US
Practice Address - Phone:843-310-1078
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-16
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty