Provider Profile
ORLANDO HEALTH MEDICAL GROUP, INC
Clinical Laboratory
FACILITY PROFILE
Street Address
- 7243 DELLA DR SUITE H
ORLANDO, FL 32819
County: Orange - Phone: (407) 649-7413
Mailing Address
- 52 W UNDERWOOD ST MP#9
ORLANDO, FL 32806
County: Orange - Phone: (407) 649-7413
AHCA Reports
Inspection ReportsInspection Details
Facility Information:
| Facility/Provider Type: | Clinical Laboratory | ||||||
| Laboratory Director: | TERRENCE PEPPY | ||||||
| Owner/Licensee: | PHYSICIAN ASSOCIATES LLC | ||||||
| Owner/Licensee Since: | 9/25/2008 | ||||||
| |||||||
| Profit Status: | For-Profit | ||||||
| Licensed Beds: | Not Available | ||||||
| AHCA Number (File Number): | 26981789 | ||||||
| CLIA Number: | 10D1091297 | ||||||
| AHCA Field Office: | 07 | ||||||
| Medicare Status: | FED CERTIFIED | ||||||
Services/Characteristics
| Lab Testing Designation: | Waived |
| Type: | Exclusive Use Physicians Office |
Legal Actions
| Date Initiated | Case # | Case Type | Violation | Fine Amount | Date Imposed |
|---|---|---|---|---|---|
| Change of ownership occurred 1/1/2013 | |||||
Important information and facility/provider definitions can be found in the Glossary.
Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.