Provider Demographics
NPI:1952839201
Name:OGLETHORPE OF ORLANDO INC
Entity Type:Organization
Organization Name:OGLETHORPE OF ORLANDO INC
Other - Org Name:THE BLACKBERRY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REVENUE CYCLE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-597-5075
Mailing Address - Street 1:7074 GROVE RD STE 129
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-8658
Mailing Address - Country:US
Mailing Address - Phone:352-597-5075
Mailing Address - Fax:352-610-9996
Practice Address - Street 1:91 BEEHIVE CIR
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34769-1432
Practice Address - Country:US
Practice Address - Phone:885-973-7333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-31
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes283Q00000XHospitalsPsychiatric HospitalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLSX2OtherBLUE CROSS BLUE SHIELD