Provider Demographics
NPI:1003614397
Name:VARGAS, ORLANDO
Entity type:Individual
Prefix:MR
First Name:ORLANDO
Middle Name:
Last Name:VARGAS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2311 N ORANGE BLOSSOM TRL
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34744-2313
Mailing Address - Country:US
Mailing Address - Phone:407-957-9077
Mailing Address - Fax:888-702-0079
Practice Address - Street 1:2311 N ORANGE BLOSSOM TRL
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-2313
Practice Address - Country:US
Practice Address - Phone:407-957-9077
Practice Address - Fax:888-702-0079
Is Sole Proprietor?:No
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health