Basic Information
| Provider Information | |||||||||
| NPI: | 1487620431 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | WORKERS OCCUPATIONAL RESOURCE CENTER, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7751 KINGSPOINTE PKWY | ||||||||
| Address2: | SUITE 114 | ||||||||
| City: | ORLANDO | ||||||||
| State: | FL | ||||||||
| PostalCode: | 32819 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4075819672 | ||||||||
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| Practice Location | |||||||||
| Address1: | 7751 KINGSPOINTE PKWY | ||||||||
| Address2: | SUITE 114 | ||||||||
| City: | ORLANDO | ||||||||
| State: | FL | ||||||||
| PostalCode: | 32819 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4075819672 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/28/2006 | ||||||||
| LastUpdateDate: | 11/27/2007 | ||||||||
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| AuthorizedOfficialLastName: | GEISSBUHLER | ||||||||
| AuthorizedOfficialFirstName: | MANDY | ||||||||
| AuthorizedOfficialMiddleName: | M | ||||||||
| AuthorizedOfficialTitleorPosition: | OFFICE MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 4075819672 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | ME0022541 | FL | Y | 193200000X MULTI-SPECIALTY GROUP | Other Service Providers | Specialist |
No ID Information.