# HOPE CENTERS OF CENTRAL FLORIDA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053764985
- **Authorized official:** STACEY WADE (ADMINISTRATOR)
- **Authorized official phone:** (407) 445-9545

## Contact information

- **Practice address:** 101 E MILLER ST, ORLANDO, FL 32806-2123
- **Practice address phone:** (407) 246-6620
- **Practice address fax:** (407) 299-9141
- **Mailing address:** 1507 S HIAWASSEE RD, SUITE 107, ORLANDO, FL 32835-5718
- **Mailing address phone:** (407) 445-9545
- **Mailing address fax:** (407) 299-9141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | — | Yes |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | — |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | — |

## Other

- **Enumeration date:** 07/15/2016
- **Last updated:** 07/15/2016