Organization
FLORIDA DEPARTMENT OF HEALTH
Active
Other names
ORANGE COUNTY HEALTH DEPARTMENT
Organization subpart
No
Provider details
NPI number
Authorized official
BRUNI VEGA (PROGRAM MANAGER)
(407) 856-1400
Entity
Organization
Contact information
Practice address
832 W CENTRAL BLVD, ORLANDO, FL 32805-1809
(407) 836-2615
(407) 836-7108
Mailing address
6101 LAKE ELLENOR DR, ORLANDO, FL 32809-4616
(407) 858-1400
(407) 858-5514
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
PH1953
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027958707
—
FL
05
—
027958789
—
FL
01
—
1018351
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/25/2008
Last updated
07/22/2010
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