Provider Demographics
NPI:1023814761
Name:KADDOCH, ORIT
Entity type:Individual
Prefix:MRS
First Name:ORIT
Middle Name:
Last Name:KADDOCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3875 TRISTRAM LOOP
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638-3014
Mailing Address - Country:US
Mailing Address - Phone:305-902-8627
Mailing Address - Fax:
Practice Address - Street 1:3875 TRISTRAM LOOP
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34638-3014
Practice Address - Country:US
Practice Address - Phone:305-902-8627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst