Provider Demographics
NPI:1629022041
Name:SAJUNE MEDICAL CENTER INC.
Entity Type:Organization
Organization Name:SAJUNE MEDICAL CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ZENA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDREWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-478-9797
Mailing Address - Street 1:45 W COLUMBIA ST
Mailing Address - Street 2:SUITE 10
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-1136
Mailing Address - Country:US
Mailing Address - Phone:407-478-9797
Mailing Address - Fax:407-478-9798
Practice Address - Street 1:45 W COLUMBIA ST
Practice Address - Street 2:SUITE 10
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-1136
Practice Address - Country:US
Practice Address - Phone:407-478-9797
Practice Address - Fax:407-478-9798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME87998175L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175L00000XOther Service ProvidersHomeopathGroup - Multi-Specialty