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Fountain Life Orlando, Llc
Clinic/Center in Orlando, Florida
NPI 1699455956

Fountain Life Orlando, Llc is a Clinic/Center based in Orlando, FL. Fountain Life Orlando, Llc practices in Orlando, FL. The NPI Number for Fountain Life Orlando, Llc is 1699455956 and holds a License No. (Florida).

The current practice location address for Fountain Life Orlando, Llc is 6424 Alexandra Louise Dr Ste 120, Orlando, FL and can be reached out via phone at 917-810-8672.

Location: 6424 Alexandra Louise Dr Ste 120, Orlando, FL, 32827-5812
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699455956
Provider Name
Fountain Life Orlando, Llc
Credential
Provider Entity Type
Organization
Address
6424 Alexandra Louise Dr Ste 120, Orlando, FL, 32827-5812
Phone Number
917-810-8672
Fax Number
Provider Enumeration Date
07/21/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
6424 Alexandra Louise Dr Ste 120
City
Orlando
State
Florida
Zip
32827-5812
Phone Number
917-810-8672
Fax Number
person
Provider Business Mailing Address Details
Address
6424 Alexandra Louise Dr Ste 120
City
Orlando
State
Florida
Zip
32827-5812
Phone Number
917-810-8672
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
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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