| Optumumhealthoutcomes | |
|
5104 N Orange Blossom Trl Suite 108 Orlando FL 32810-1042 | |
| (407) 394-7181 | |
| (810) 222-6666 |
| Full Name | Optumumhealthoutcomes |
|---|---|
| Speciality | Case Management |
| Location | 5104 N Orange Blossom Trl, Orlando, Florida |
| Authorized Official Name and Position | Timothy Edwards (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4073947181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Optumumhealthoutcomes 4531 Arch St Orlando FL 32808-7805 Ph: (407) 394-7181 | Optumumhealthoutcomes 5104 N Orange Blossom Trl Suite 108 Orlando FL 32810-1042 Ph: (407) 394-7181 |
| NPI Number | 1558785253 |
|---|---|
| Provider Enumeration Date | 02/16/2014 |
| Last Update Date | 09/22/2021 |
| Certification Date | 09/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558785253 | NPI | - | NPPES |
| 109752000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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