Central Florida Urban League Health & Wellness Clinic

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CENTRAL FLORIDA URBAN LEAGUE HEALTH & WELLNESS CLINIC

Practice address

595 W Church St
Orlando, FL 32805-2285

Phone

(407) 841-7654

NPI assigned

Aug 25, 2022

Organization subpart

Yes

Parent organization

CENTRAL FLORIDA URBAN LEAGUE, INC.As reported in NPPES

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

Authorized official

Name

Cornelia James

Title

Consultant

Phone

(850) 264-9021

Specialties & licenses 1

Addresses

Part of

Central Florida Urban League Health Wellness Clinic

Locations

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1912626664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 BELCO DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328083557",
            "telephone_number": "407-841-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 W CHURCH ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328052285",
            "telephone_number": "407-841-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA URBAN LEAGUE HEALTH & WELLNESS CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL FLORIDA URBAN LEAGUE, INC.",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "CORNELIA",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "850-264-9021"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Orlando, FL
• Providers in Orlando, FL by specialty
• Community/Behavioral Health Agency in Florida

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