| Orange Blossom Family Health Center | |
|
232 N Orange Blossom Trl Orlando FL 32805-1612 | |
| (407) 428-5751 | |
| Not Available |
| Full Name | Orange Blossom Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 232 N Orange Blossom Trl, Orlando, Florida |
| Authorized Official Name and Position | Bakari F. Burns (CEO) |
| Authorized Official Contact | 4074285751 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orange Blossom Family Health Center 232 N Orange Blossom Trl Orlando FL 32805-1612 Ph: (407) 428-5751 | Orange Blossom Family Health Center 232 N Orange Blossom Trl Orlando FL 32805-1612 Ph: (407) 428-5751 |
| NPI Number | 1235213216 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 08/22/2016 |
| Medicare PECOS PAC ID | 6103895107 |
|---|---|
| Medicare Enrollment ID | O20040927000965 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235213216 | NPI | - | NPPES |
| 687429100 | Medicaid | FL | |
| 687429101 | Medicaid | FL | |
| 687429102 | Medicaid | FL | |
| 5000-127026 | Other | FL | ORANGE COUNTY BUSINESS LI |
| BUS0009641-0003 | Other | FL | CITY OF ORLANDO BUSINESS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | BUS0009641-003 (Florida) | Primary |
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