PROBODY SPORTS PERFORMANCE (NPI# 1134673130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134673130 |
| Entity Type | Organization |
| Organization Name | PROBODY SPORTS PERFORMANCE |
| Practice Address |
4798 N Orange Blossom Trl Orlando FL 32810-1601 |
| Practice Telephone | 4079641411 |
| Mailing Telephone | 4079641411 |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2016-08-08 |
| Authorized Official Name | MS. PAMELA DELANEY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4079641411 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
MA61931 | FL | Ambulatory Health Care Facilities |
| Street Address |
4798 N ORANGE BLOSSOM TRL |
| City | ORLANDO |
| State | FL |
| Zip Code | 32810-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708344 | Courtney Anne Bass | Psychologist | 5736 Eggleston Avenue, Orlando, FL 32810 | 2020-10-19 |
| 1598273666 | Taylor Elizabeth Marshall | Behavior Technician | 3701 Maitland Summit Blvd, Orlando, FL 32810 | 2018-01-11 |
| 1962920595 | Sister With Destiny | Adult Companion | 5214 N. O. B. T Apt 103, Orlando, FL 32810 | 2017-09-04 |
| 1710408992 | Denise Lynn Mezquia | Optometrist | 1800 Pembrook Dr Ste 120, Orlando, FL 32810 | 2017-06-28 |
| 1407380603 | Naho Hattori | Student in an Organized Health Care Education/Training Program | 1800 Pembrook Dr Ste 200, Orlando, FL 32810 | 2017-04-13 |
| 1245774801 | Elite Physical Therapy & Health Care Services | Community/Behavioral Health | 5104 North Orange Blossom Trail, Suite 119, Orlando, FL 32810 | 2016-12-15 |
| 1841746518 | Marie Yveline Mauger | Licensed Practical Nurse | 4400 Park Eden Cir, Orlando, FL 32810 | 2016-08-31 |
| 1548619950 | Predestined 4 Purpose Inc | Home Health | 6826 Gadwall Lane, Orlando, FL 32810 | 2016-06-07 |
| 1881058998 | Xuong Vong | Massage Therapist | 9301 Summit Centre Way, Maitland, FL 32810 | 2016-04-06 |
| 1760862726 | Edwin Colon | Case Management | 2660 Environs Blvd, Orlando, FL 32810 | 2015-06-04 |
| Find all providers in zip 32810 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285240333 | Auto Accident Health & Rehab, LLC | Clinic/Center | 2140 Bruton Blvd, Orlando, FL 32805-5717 | 2020-09-23 |
| 1023660800 | Solid Solution Home Care | Clinic/Center | 2612 Silkwood Cir Apt 722, Orlando, FL 32818-3378 | 2019-07-12 |
| 1689025660 | Elite Mobile Labs, LLC | Clinic/Center | 5824 Lake Pointe Village Cir, 501, Orlando, FL 32822-3570 | 2016-06-30 |
| 1649639576 | Serenity's Diabetic Primary Care | Clinic/Center | 6000 Wolf Rd, Orlando, FL 32808-4259 | 2016-02-20 |
| 1780073353 | American Allergy Inc. | Clinic/Center | 2423 S Orange Ave, Suite 181, Orlando, FL 32806-4543 | 2015-01-20 |
| 1649690322 | Csi Pediatric Services, Inc. | Clinic/Center | 7054 W Colonial Dr, Orlando, FL 32818-6739 | 2014-04-22 |
| 1629494471 | Prestige Medical Services & Rehab LLC | Clinic/Center | 715 N Ferncreek Ave Ste B, Orlando, FL 32803-4108 | 2014-03-17 |
| 1134544612 | Orlando Family Wellness | Clinic/Center | 11883 Gennaro Ln, Orlando, FL 32827-7134 | 2014-02-20 |
| 1053755793 | Prestige Medical Services | Clinic/Center | 2614 E Colonial Dr Ste 400-5, Orlando, FL 32803-5029 | 2013-04-24 |
| 1770862021 | Rehab Therapy Services Inc | Clinic/Center | 8421 S Orange Blossom Trl, Suite 117, Orlando, FL 32809-8240 | 2011-08-04 |
| Find all providers in ORLANDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.