Provider Demographics
NPI:1780267195
Name:CONNECTION HEALTH LLC
Entity type:Organization
Organization Name:CONNECTION HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDUARDO
Authorized Official - Middle Name:J
Authorized Official - Last Name:SOTO-SANTIAGO
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:407-247-2107
Mailing Address - Street 1:2880 MIDDLETON CIR
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34743-5621
Mailing Address - Country:US
Mailing Address - Phone:407-247-2107
Mailing Address - Fax:
Practice Address - Street 1:2880 MIDDLETON CIR
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34743-5621
Practice Address - Country:US
Practice Address - Phone:407-247-2107
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-03
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty