Provider Demographics
NPI:1053758722
Name:PHYSICIANS CARE CENTERS OF ORLANDO LLC
Entity type:Organization
Organization Name:PHYSICIANS CARE CENTERS OF ORLANDO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:STEELE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-385-0731
Mailing Address - Street 1:1781 PARK CENTER DR
Mailing Address - Street 2:STE 120
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-6254
Mailing Address - Country:US
Mailing Address - Phone:561-358-6226
Mailing Address - Fax:561-795-7598
Practice Address - Street 1:1781 PARK CENTER DR
Practice Address - Street 2:STE 120
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-6254
Practice Address - Country:US
Practice Address - Phone:561-358-6226
Practice Address - Fax:561-795-7598
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-04
Last Update Date:2014-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty