Provider Demographics
NPI:1942753793
Name:ORLANDO HEALTH
Entity Type:Organization
Organization Name:ORLANDO HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. ACADEMIC PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:KOZY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-841-8933
Mailing Address - Street 1:1414 KUHL AVE
Mailing Address - Street 2:MP44
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-2008
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1414 KUHL AVE
Practice Address - Street 2:MP44
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-2008
Practice Address - Country:US
Practice Address - Phone:321-841-8169
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-28
Last Update Date:2016-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Single Specialty