Provider Demographics
NPI:1518314715
Name:TOUCH OF HEALTH MEDICAL CENTER LLC
Entity Type:Organization
Organization Name:TOUCH OF HEALTH MEDICAL CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:VLADIMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:KORCHAGIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-724-8121
Mailing Address - Street 1:1405 W COLONIAL DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-7118
Mailing Address - Country:US
Mailing Address - Phone:407-724-8121
Mailing Address - Fax:
Practice Address - Street 1:1405 W COLONIAL DR
Practice Address - Street 2:SUITE B
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-7118
Practice Address - Country:US
Practice Address - Phone:407-724-8121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-17
Last Update Date:2016-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center