Provider Demographics
NPI:1104053115
Name:ORANGE MEDICAL SPA, LLC
Entity type:Organization
Organization Name:ORANGE MEDICAL SPA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LUZ
Authorized Official - Middle Name:
Authorized Official - Last Name:ARGUINZONI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-823-9452
Mailing Address - Street 1:PO BOX 678504
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32867-8504
Mailing Address - Country:US
Mailing Address - Phone:407-823-9452
Mailing Address - Fax:407-823-9455
Practice Address - Street 1:5740 OLD CHENEY HWY
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32807-3525
Practice Address - Country:US
Practice Address - Phone:407-823-9452
Practice Address - Fax:407-823-9455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-17
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy