Provider Demographics
NPI:1053597484
Name:PLANNED PARENTHOOD OF GREATER ORLANDO, INC.
Entity type:Organization
Organization Name:PLANNED PARENTHOOD OF GREATER ORLANDO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNA
Authorized Official - Middle Name:C
Authorized Official - Last Name:TOSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-246-1788
Mailing Address - Street 1:726 S. TAMPA AVE.
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32805
Mailing Address - Country:US
Mailing Address - Phone:407-246-1788
Mailing Address - Fax:321-299-1041
Practice Address - Street 1:11500 UNIVERSITY BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32817
Practice Address - Country:US
Practice Address - Phone:321-235-5513
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PLANNED PARENTHOOD OF GREATER ORLANDO, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-16
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL908261QF0050X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL256972802Medicaid