Provider Demographics
NPI:1528723640
Name:UPTOWN HEALTH, LLC
Entity type:Organization
Organization Name:UPTOWN HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:L
Authorized Official - Last Name:SEIFERT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-212-5589
Mailing Address - Street 1:258 E ALTAMONTE DR
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-4332
Mailing Address - Country:US
Mailing Address - Phone:407-212-5589
Mailing Address - Fax:321-280-3950
Practice Address - Street 1:258 E ALTAMONTE DR
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-4332
Practice Address - Country:US
Practice Address - Phone:407-212-5589
Practice Address - Fax:321-280-3950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-03
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No282J00000XHospitalsReligious Nonmedical Health Care Institution
No302F00000XManaged Care OrganizationsExclusive Provider Organization
No302R00000XManaged Care OrganizationsHealth Maintenance Organization
No305S00000XManaged Care OrganizationsPoint of Service
No333600000XSuppliersPharmacy
No347E00000XTransportation ServicesTransportation Broker