| Orlando Health Clinic Llc | |
|
1212 Woodward St Ste 5 Orlando FL 32803-4173 | |
| (407) 895-5441 | |
| (407) 895-5443 |
| Full Name | Orlando Health Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1212 Woodward St Ste 5, Orlando, Florida |
| Authorized Official Name and Position | Patrick Hoaduc Dang (MEDICAL DIRECTOR/ MANAGER) |
| Authorized Official Contact | 4074012690 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orlando Health Clinic Llc 9942 Oak Quarry Dr Orlando FL 32832-5648 Ph: (407) 895-5441 | Orlando Health Clinic Llc 1212 Woodward St Ste 5 Orlando FL 32803-4173 Ph: (407) 895-5441 |
| NPI Number | 1437486339 |
|---|---|
| Provider Enumeration Date | 11/13/2009 |
| Last Update Date | 07/26/2011 |
| Medicare PECOS PAC ID | 1355520420 |
|---|---|
| Medicare Enrollment ID | O20110120000992 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437486339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | ME98622 (Florida) | Primary |
| Provider Name | Patrick H Dang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629268214 PECOS PAC ID: 5597859926 Enrollment ID: I20091104000738 |
| Provider Name | Angel N Ho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932354982 PECOS PAC ID: 5092985929 Enrollment ID: I20110831000585 |
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