Pact of Faith, Inc

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

26471961 Issued in FL

Legal business name

PACT OF FAITH, INC

Practice address

5817 Dahlia Dr
Orlando, FL 32807-3238

Phone

(407) 300-5813

Fax

(407) 249-2528

NPI assigned

Nov 30, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Deannys C Vargas, EXECUTIVE DIRECTOR

Title

Ceo

Phone

(407) 300-5813

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1354233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1477898575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5817 DAHLIA DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073238",
            "telephone_number": "407-300-5813",
            "fax_number": "407-249-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5817 DAHLIA DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073238",
            "telephone_number": "407-300-5813",
            "fax_number": "407-249-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACT OF FAITH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "DEANNYS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-300-5813",
        "authorized_official_credential": "EXECUTIVE DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "FL",
            "license": "26471961",
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Orlando, FL
• Providers in Orlando, FL by specialty
• Exclusive Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.