Provider Demographics
NPI:1336997212
Name:TRULY BLISS, LLC
Entity Type:Organization
Organization Name:TRULY BLISS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KINGSLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALIU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-758-9775
Mailing Address - Street 1:2124 RICKOVER PL
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-5485
Mailing Address - Country:US
Mailing Address - Phone:561-531-4002
Mailing Address - Fax:866-341-7847
Practice Address - Street 1:6388 SILVER STAR RD STE 2F
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32818-3235
Practice Address - Country:US
Practice Address - Phone:561-758-9775
Practice Address - Fax:866-341-7847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-07
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty