| Odb Health, Inc. | |
|
1836 Woodward St Orlando FL 32803-4256 | |
| (407) 568-5317 | |
| Not Available |
| Full Name | Odb Health, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 1836 Woodward St, Orlando, Florida |
| Authorized Official Name and Position | Oscar D Bentinganan (PRESIDENT) |
| Authorized Official Contact | 4075685317 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Odb Health, Inc. 1836 Woodward St Orlando FL 32803-4256 Ph: (407) 568-5317 | Odb Health, Inc. 1836 Woodward St Orlando FL 32803-4256 Ph: (407) 568-5317 |
| NPI Number | 1033482088 |
|---|---|
| Provider Enumeration Date | 02/21/2012 |
| Last Update Date | 02/21/2012 |
| Medicare PECOS PAC ID | 3274784111 |
|---|---|
| Medicare Enrollment ID | O20121127000223 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033482088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Stella B Montes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861577918 PECOS PAC ID: 4385605716 Enrollment ID: I20041020000169 |
| Provider Name | Oscar D Bentinganan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336134568 PECOS PAC ID: 9335298694 Enrollment ID: I20090518000192 |
| Provider Name | Praveen Pathak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386613867 PECOS PAC ID: 9638190986 Enrollment ID: I20110104000987 |
| Provider Name | Teresa Perrault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508181686 PECOS PAC ID: 6608170733 Enrollment ID: I20160209002698 |
| Provider Name | Rachel Moreno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366985285 PECOS PAC ID: 7012299423 Enrollment ID: I20170119002133 |
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