FOUNTAIN LIFE ORLANDO, LLC is a clinic center in Orlando, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). FOUNTAIN LIFE ORLANDO, LLC NPI is 1699455956. The provider is registered as an organization entity type.
The provider's business location address is:
6424 ALEXANDRA LOUISE DR STE 120
ORLANDO, FL
ZIP 32827-812
Phone: (917) 810-8672
The provider's authorized official is Barbara Woo .
The authorized official title is Director Of Clinical Operations and has the following contact phone number (407) 725-1516.
The enumeration date for this NPI number is 7/21/2023 and was last updated on 7/21/2023.