Provider Demographics
NPI:1609268150
Name:BLISS HEALTH INC
Entity Type:Organization
Organization Name:BLISS HEALTH INC
Other - Org Name:BLISS HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:MEDICAL DIRECTOR / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-203-5984
Mailing Address - Street 1:2901 CURRY FORD RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-3353
Mailing Address - Country:US
Mailing Address - Phone:407-203-5984
Mailing Address - Fax:
Practice Address - Street 1:2901 CURRY FORD RD
Practice Address - Street 2:STE 106
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-3353
Practice Address - Country:US
Practice Address - Phone:407-203-5984
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-20
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL014808900Medicaid
FL014808900Medicaid