| Orange Blossom Family Health Center | |
|
3100 Evans Trojans Way Orlando FL 32808-3662 | |
| (407) 428-5751 | |
| (407) 428-6204 |
| Full Name | Orange Blossom Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 3100 Evans Trojans Way, Orlando, Florida |
| Authorized Official Name and Position | Bakari F Burns (PRESIDENT/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 3100 Evans Trojans Way Orlando FL 32808-3662 Ph: (407) 428-5751 |
| NPI Number | 1588109185 |
|---|---|
| Provider Enumeration Date | 01/05/2017 |
| Last Update Date | 01/18/2017 |
| Medicare PECOS PAC ID | 6103895107 |
|---|---|
| Medicare Enrollment ID | O20170520000004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588109185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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