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 |