Provider Demographics
NPI:1427326909
Name:UNIQUE HEALTHCARE OF ORLANDO, INC.
Entity type:Organization
Organization Name:UNIQUE HEALTHCARE OF ORLANDO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:VANDERKUIJL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-601-7840
Mailing Address - Street 1:4978 MILLENIA BLVD
Mailing Address - Street 2:SUITE D
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32839-6058
Mailing Address - Country:US
Mailing Address - Phone:407-601-7840
Mailing Address - Fax:352-224-3392
Practice Address - Street 1:4978 MILLENIA BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32839-6058
Practice Address - Country:US
Practice Address - Phone:407-601-7840
Practice Address - Fax:352-224-3392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-12
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty