Provider Demographics
NPI:1528616596
Name:ORLANDO HEALTH INC.
Entity type:Organization
Organization Name:ORLANDO HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE/REVENUE
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:J
Authorized Official - Last Name:GASPELIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-841-6308
Mailing Address - Street 1:PO BOX 568624
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32856-8624
Mailing Address - Country:US
Mailing Address - Phone:321-842-0640
Mailing Address - Fax:
Practice Address - Street 1:392 RINEHART RD
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746
Practice Address - Country:US
Practice Address - Phone:321-842-0640
Practice Address - Fax:321-842-0641
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ORLANDO HEALTH INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-09-03
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy