Provider Demographics
NPI:1518027069
Name:ORLANDO REGIONAL HEALTH NETWORK
Entity Type:Organization
Organization Name:ORLANDO REGIONAL HEALTH NETWORK
Other - Org Name:ORLANDO REGIONAL BEHAVIORAL HEALTHCARE GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:EGGERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-262-2213
Mailing Address - Street 1:1221 SLIGH BLVD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-1107
Mailing Address - Country:US
Mailing Address - Phone:407-237-6377
Mailing Address - Fax:407-649-9153
Practice Address - Street 1:1221 SLIGH BLVD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-1107
Practice Address - Country:US
Practice Address - Phone:407-237-6377
Practice Address - Fax:407-649-9153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty