Provider Demographics
NPI: | 1831722529 |
---|---|
Name: | ALLIED HEALTH ORGANIZATION INC |
Entity type: | Organization |
Organization Name: | ALLIED HEALTH ORGANIZATION INC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | ORGANIZATION DIRECTOR |
Authorized Official - Prefix: | |
Authorized Official - First Name: | ALEJANDRO |
Authorized Official - Middle Name: | J |
Authorized Official - Last Name: | CASTRO |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 844-593-2160 |
Mailing Address - Street 1: | 522 W LAKE MARY BLVD STE B |
Mailing Address - Street 2: | |
Mailing Address - City: | SANFORD |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 32773-7467 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 844-593-2160 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 33041 PROFESSIONAL DR STE 102 |
Practice Address - Street 2: | |
Practice Address - City: | LEESBURG |
Practice Address - State: | FL |
Practice Address - Zip Code: | 34788-3761 |
Practice Address - Country: | US |
Practice Address - Phone: | 844-593-2160 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2020-02-20 |
Last Update Date: | 2023-03-17 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | |
No | 261QH0100X | Ambulatory Health Care Facilities | Clinic/Center | Health Service |