Organization
MJ PAVILLION NECTARWAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN TYRELL (PRESIDENT)
(407) 462-5613
Entity
Organization
Contact information
Practice address
2289 NECTAR WAY, OVIEDO, FL 32765-3276
(407) 542-5572
(407) 542-5049
Mailing address
2289 NECTAR WAY, OVIEDO, FL 32765-6190
(407) 542-5572
(407) 542-5049
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
310400000X
Assisted Living Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13681
—
FL
05
—
1457601148
—
FL
05
—
1851566905
—
FL
Enumeration date
04/01/2022
Last updated
04/01/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us