Eagles Health and Wellness LLC,

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

HCC7645 Issued in FL

Legal business name

EAGLES HEALTH AND WELLNESS LLC,

Practice address

1308 Rose Blvd Ste a
Orlando, FL 32839-3385

Phone

(407) 822-1107

Fax

(407) 822-1108

NPI assigned

Jun 1, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Claire Rose Cimervil Sr., P

Title

President

Phone

(407) 822-1107

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891997854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 ROSE BLVD STE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328393385",
            "telephone_number": "407-822-1107",
            "fax_number": "407-822-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 ROSE BLVD STE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328393385",
            "telephone_number": "407-822-1107",
            "fax_number": "407-822-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLES HEALTH AND WELLNESS LLC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CIMERVIL",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-822-1107",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "P"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "HCC7645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE CLINIC",
            "identifier": "HCC7645",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Susan Eads, CCC-SLP
• Dawn Renee Eads
• Kelli Eady, M.A., LMT
• Eager Care Place LLC
• Dana Christine Eagle, LCSW
• Jennifer Angela Eagles, MPT
• Angela Eakels, APN
• Ear Nose and Throat Specialists of St Cloud LLC
• Joshua Adam Earl, MD
• Jennifer Earle, CRNA

• Health Service Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.