| Changes Health, Llc | |
|
12780 Waterford Lakes Prwy Suite 100 Orlando FL 32828-4501 | |
| (407) 282-7300 | |
| (407) 681-4603 |
| Full Name | Changes Health, Llc |
|---|---|
| Speciality | General Practice |
| Location | 12780 Waterford Lakes Prwy, Orlando, Florida |
| Authorized Official Name and Position | Ismael A Beloso (OWNER) |
| Authorized Official Contact | 4072827300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changes Health, Llc 12780 Waterford Lakes Prwy Suite 100 Orlando FL 32828-4501 Ph: (407) 282-7300 | Changes Health, Llc 12780 Waterford Lakes Prwy Suite 100 Orlando FL 32828-4501 Ph: (407) 282-7300 |
| NPI Number | 1841620531 |
|---|---|
| Provider Enumeration Date | 11/18/2013 |
| Last Update Date | 11/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841620531 | NPI | - | NPPES |
| 1750538922 | Other | FL | NPI |
| OS10148 | Other | FL | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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