Basic Information
| Provider Information | |||||||||
| NPI: | 1881355170 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HARMONY HEALTHCARE ORLANDO INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1400 S ORLANDO AVE STE 205 | ||||||||
| Address2: | |||||||||
| City: | WINTER PARK | ||||||||
| State: | FL | ||||||||
| PostalCode: | 327895543 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4077772022 | ||||||||
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| Practice Location | |||||||||
| Address1: | 13047 W LINEBAUGH AVE STE 101 | ||||||||
| Address2: | |||||||||
| City: | TAMPA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 336264487 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4077772022 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/07/2022 | ||||||||
| LastUpdateDate: | 05/31/2022 | ||||||||
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| AuthorizedOfficialLastName: | TORRES | ||||||||
| AuthorizedOfficialFirstName: | PRISCILLA | ||||||||
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| AuthorizedOfficialTitleorPosition: | EXECUTIVE DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 4077772022 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 05/31/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LA2200X | N | 193200000X MULTI-SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Adult Health | 363LC1500X | N | 193200000X MULTI-SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Community Health | 261QP2300X | Y | Ambulatory Health Care Facilities | Clinic/Center | Primary Care |
No ID Information.