Active NPI
Sodo Supportive Health Outreach Foundation, Inc.
- General Practice Physician
- Orlando, FL
National Provider Identifier
1689461956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- SODO SUPPORTIVE HEALTH OUTREACH FOUNDATION, INC.
- Practice address
- 220 E Gore St
Orlando, FL 32806-1224 - Phone
- (407) 601-1501
- Fax
- (407) 601-1502
- NPI assigned
- Apr 21, 2025
- Last updated
- Jun 3, 2026
- 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
- Jillian Hall
- Title
- President
- Phone
- (407) 601-1501
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | NU | Primary |
Addresses
Primary practice location
220 E Gore St
Orlando, FL 32806-1224
Mailing address
220 E Gore St
Orlando, FL 32806-1224
Phone (407) 601-1501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2322879 | Sodo Supportive Health Outreach | Certificate of waiver | Apr 28, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Physician
- Kissimmee, FL
- NPI 1902931363
-
- Family Nurse Practitioner
- Orlando, FL
- NPI 1740601616
-
- Community Health Worker
- Orlando, FL
- NPI 1598914897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780444800000",
"number": "1689461956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 E GORE ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328061224",
"telephone_number": "407-601-1501",
"fax_number": "407-601-1502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 E GORE ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328061224",
"telephone_number": "407-601-1501",
"fax_number": "407-601-1502"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SODO SUPPORTIVE HEALTH OUTREACH FOUNDATION, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-21",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A",
"authorized_official_last_name": "HALL",
"authorized_official_first_name": "JILLIAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "407-601-1501"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NU",
"license": null,
"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 Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.