Provider Demographics
NPI:1710505458
Name:ORLANDO HEALTH INC
Entity Type:Organization
Organization Name:ORLANDO HEALTH INC
Other - Org Name:SCRIPTS PHARMACY
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:J
Authorized Official - Last Name:GASPELIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-841-6308
Mailing Address - Street 1:PO BOX 568624
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32856-8624
Mailing Address - Country:US
Mailing Address - Phone:321-842-1622
Mailing Address - Fax:
Practice Address - Street 1:1111 BLACKWOOD AVE
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-4549
Practice Address - Country:US
Practice Address - Phone:321-843-8535
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ORLANDO HEALTH INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-07-09
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0036854Medicaid