| Lighthouse Central Florida Inc | |
|
215 E New Hampshire St Orlando FL 32804-6403 | |
| (407) 898-2483 | |
| (407) 895-5255 |
| Full Name | Lighthouse Central Florida Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 215 E New Hampshire St, Orlando, Florida |
| Authorized Official Name and Position | Lee Ann Nasehi (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4078982483 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Central Florida Inc 215 E New Hampshire St Orlando FL 32804-6403 Ph: (407) 898-2483 | Lighthouse Central Florida Inc 215 E New Hampshire St Orlando FL 32804-6403 Ph: (407) 898-2483 |
| NPI Number | 1033248141 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 12/13/2007 |
| Medicare PECOS PAC ID | 9830294354 |
|---|---|
| Medicare Enrollment ID | O20070426000481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033248141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | Rachel Sup |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003793647 PECOS PAC ID: 0547730749 Enrollment ID: I20260529000016 |
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