EAGLES HEALTH AND WELLNESS LLC, (NPI# 1891997854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891997854 |
| Entity Type | Organization |
| Organization Name | EAGLES HEALTH AND WELLNESS LLC, |
| Practice Address |
1308 Rose Blvd Ste A Orlando FL 32839-3385 |
| Practice Telephone | 4078221107 |
| Practice Fax Number | 4078221108 |
| Mailing Telephone | 4078221107 |
| Mailing Fax Number | 4078221108 |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. CLAIRE ROSE CIMERVIL SR. (PRESIDENT) |
| Authorized Official Telephone | 4078221107 |
| Authorized Official Credential | P |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
HCC7645 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | HEALTH CARE CLINIC | HCC7645 | 01 |
| Street Address |
1308 ROSE BLVD STE A |
| City | ORLANDO |
| State | FL |
| Zip Code | 32839-3385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916951 | Good Ole Days Adult Living Facility LLC | Assisted Living Facility | 3913 Trovati Street, Orlando, FL 32839 | 2020-06-15 |
| 1396399846 | Steven Outlaw | Specialist/Technologist | 216 Spencer St, Orlando, FL 32839 | 2019-08-01 |
| 1225517279 | Orlando Outpatient Surgery Center LLC | Clinic/Center | 1736 33rd St, Orlando, FL 32839 | 2018-08-10 |
| 1811406564 | Latonya Rouse | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5214 Via Hacienda, 206, Orlando, FL 32839 | 2017-09-26 |
| 1154841153 | Jillisa Clobree Tarver | Technician, Other | 5451 Millenia Lakes Blvd Apt 186, Orlando, FL 32839 | 2017-06-21 |
| 1760917728 | Beatriz Baez | Health Educator | 4836 Ligustrom Way, Orlando, FL 32839 | 2017-04-27 |
| 1740637115 | Marines Vigo | Psychologist | 1114 Redman St, Apt B, Orlando, FL 32839 | 2016-05-16 |
| 1417332560 | Kimona Lawrence | Optometrist | 4200 Conroy Road, Orlando, FL 32839 | 2015-07-29 |
| 1942627732 | Jennifer Lombardo | Social Worker | 4530 S Orange Blossom Trl # 570, Orlando, FL 32839 | 2014-03-18 |
| 1336413863 | Cheryl Lynn Anderson | Social Worker | 3805 Millenia Blvd, #110, Orlando, FL 32839 | 2012-03-01 |
| Find all providers in zip 32839 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 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 |
| 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.