Orange Blossom Injury, Health and Wellness, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ORANGE BLOSSOM INJURY, HEALTH AND WELLNESS, LLC

Practice address

1221 W Colonial Dr Ste 100
Orlando, FL 32804-7156

Phone

(407) 704-1200

Fax

(407) 704-8005

NPI assigned

Jul 31, 2020

Last updated

Jul 31, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sanford Lawrence Mark, D.C.NPI 1508051806

Title

Owner

Phone

(407) 802-7731

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Sanford Lawrence Mark, D.C.

  • Chiropractor
  • Orlando, FL
  • NPI 1508051806
  Authorized official Same address or phone

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596153600000",
    "number": "1851901201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 W COLONIAL DR STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328047156",
            "telephone_number": "407-704-1200",
            "fax_number": "407-704-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 W COLONIAL DR STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328047156",
            "telephone_number": "407-704-1200",
            "fax_number": "407-704-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE BLOSSOM INJURY, HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-31",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A",
        "authorized_official_last_name": "MARK",
        "authorized_official_first_name": "SANFORD",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-802-7731",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orange Avenue Dentistry, Inc.
• Orange Avenue Dentistry, PLLC
• Orange Avenue Surgery Center, LLC (Orange Avenue Surgery Center)
• Orange Avenue Surgical Suite, LLC (Oasis)
• Orange Behavioral Health LLC
• Orange Counseling, PLLC
• Orange County Anesthesia Associates, LLC
• Orange County BCC
• Orange County Board of County Commissioners
• Orange County Board of County Commissioners (Orange County Medical Clinic)

• Chiropractor in Orlando, FL
• Providers in Orlando, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; 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.