Provider Demographics
NPI:1588843312
Name:ORLANDO HEALTH & REHAB
Entity Type:Organization
Organization Name:ORLANDO HEALTH & REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:M
Authorized Official - Last Name:SOUVERAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-770-1001
Mailing Address - Street 1:5265 ALHAMBRA DR STE D
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32808-7205
Mailing Address - Country:US
Mailing Address - Phone:407-770-1001
Mailing Address - Fax:407-770-1006
Practice Address - Street 1:5265 ALHAMBRA DR STE D
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32808-7205
Practice Address - Country:US
Practice Address - Phone:407-770-1001
Practice Address - Fax:407-770-1006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-29
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC7843273Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL=========OtherCHIROPRACTIC