Provider Demographics
NPI:1952062762
Name:ORLANDO TREATMENT SOLUTIONS LLC
Entity Type:Organization
Organization Name:ORLANDO TREATMENT SOLUTIONS LLC
Other - Org Name:ORLANDO TREATMENT SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-986-6498
Mailing Address - Street 1:400 W STATE ROAD 434 STE 1000
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-4323
Mailing Address - Country:US
Mailing Address - Phone:386-986-6498
Mailing Address - Fax:
Practice Address - Street 1:400 W STATE ROAD 434 STE 1000
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-4323
Practice Address - Country:US
Practice Address - Phone:386-986-6498
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-04
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No251S00000XAgenciesCommunity/Behavioral Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL115768600Medicaid