| Bliss Specialty Healthcare Group | |
|
6388 Silver Star Rd Ste 2h Orlando FL 32818-3235 | |
| (352) 205-9149 | |
| (866) 341-7847 |
| Full Name | Bliss Specialty Healthcare Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 6388 Silver Star Rd Ste 2h, Orlando, Florida |
| Authorized Official Name and Position | Kingsley Aliu (CEO) |
| Authorized Official Contact | 3522059149 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bliss Specialty Healthcare Group 6388 Silver Star Rd Ste 2h Orlando FL 32818-3235 Ph: (407) 704-1771 | Bliss Specialty Healthcare Group 6388 Silver Star Rd Ste 2h Orlando FL 32818-3235 Ph: (352) 205-9149 |
| NPI Number | 1164192381 |
|---|---|
| Provider Enumeration Date | 09/18/2021 |
| Last Update Date | 03/26/2024 |
| Medicare PECOS PAC ID | 5294123592 |
|---|---|
| Medicare Enrollment ID | O20211019000840 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164192381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Kingsley D Aliu |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1275769556 PECOS PAC ID: 5991083818 Enrollment ID: I20161027002572 |
| Provider Name | Tima Doron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881055473 PECOS PAC ID: 0840557377 Enrollment ID: I20171207003223 |
| Provider Name | Delvy Rosado Larroy |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1174769954 PECOS PAC ID: 4284779786 Enrollment ID: I20201001002585 |
| Provider Name | Soondy Jegede |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497270243 PECOS PAC ID: 1850707068 Enrollment ID: I20210315000832 |
| Provider Name | Setha Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962972570 PECOS PAC ID: 1254667942 Enrollment ID: I20220901000072 |
| Provider Name | Rosalyn N Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730435793 PECOS PAC ID: 1355702531 Enrollment ID: I20230803003831 |
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