Provider Demographics
NPI:1831480722
Name:ORCHID MEDICAL, INC
Entity Type:Organization
Organization Name:ORCHID MEDICAL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:CARWILE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-893-7188
Mailing Address - Street 1:PO BOX 560370
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32856-0370
Mailing Address - Country:US
Mailing Address - Phone:866-888-6724
Mailing Address - Fax:866-246-8587
Practice Address - Street 1:622 E WASHINGTON ST STE 500
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32801-2975
Practice Address - Country:US
Practice Address - Phone:866-888-6724
Practice Address - Fax:866-246-8587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-26
Last Update Date:2020-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1313718332B00000X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies