Organization · Type 2 NPI
Fountain Life Orlando, LLC
Clinic/Center · Orlando, FL
NPI number
1699455956
Active
Practice location
6424 Alexandra Louise Dr Ste 120
Orlando, FL 32827-5812
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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About NPI 1699455956
Fountain Life Orlando, LLC's National Provider Identifier is 1699455956, issued on Jul 21, 2023. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Orlando, FL. The record was last updated on Jul 21, 2023.