Provider Demographics
NPI:1518796010
Name:ORMEUS, GHEHU
Entity type:Individual
Prefix:
First Name:GHEHU
Middle Name:
Last Name:ORMEUS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1177 SHEELER HILLS DR
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-3660
Mailing Address - Country:US
Mailing Address - Phone:407-616-1602
Mailing Address - Fax:
Practice Address - Street 1:1177 SHEELER HILLS DR
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-3660
Practice Address - Country:US
Practice Address - Phone:407-616-1602
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-31
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL98493225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant