Active NPI
Edgewood Healthcare and Rehab CNTR., LLC
- Chiropractor
- Orlando, FL
National Provider Identifier
1154664340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 8751
- Legal business name
- EDGEWOOD HEALTHCARE AND REHAB CNTR., LLC
- Practice address
- 5205 S Orange Ave
# 207
Orlando, FL 32809-3068 - Phone
- (407) 409-7811
- NPI assigned
- Apr 5, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. H Dennis Harrison, D..C.
- Title
- Owner
- Phone
- (407) 409-7811
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH 8751 | FL | Primary |
Addresses
Primary practice location
5205 S Orange Ave
# 207
Orlando, FL 32809-3068
Mailing address
5205 S Orange Ave
#207
Orlando, FL 32809-3068
Phone (407) 409-7811
National Provider Directory
National Provider DirectoryLocations
5205 S Orange Ave
Ste 207
Orlando, FL 32809
Phone (407) 409-7811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1365120000000",
"number": "1154664340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5205 S ORANGE AVE",
"address_2": "#207",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328093068",
"telephone_number": "407-409-7811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5205 S ORANGE AVE",
"address_2": "# 207",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328093068",
"telephone_number": "407-409-7811"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDGEWOOD HEALTHCARE AND REHAB CNTR., LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-05",
"last_updated": "2013-04-05",
"status": "A",
"authorized_official_last_name": "HARRISON",
"authorized_official_first_name": "H",
"authorized_official_middle_name": "DENNIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "407-409-7811",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D..C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "FL",
"license": "CH 8751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.