Provider Demographics
NPI:1861663379
Name:JEWISH FAMILY SERVICES OF GREATER ORLANDO INC
Entity type:Organization
Organization Name:JEWISH FAMILY SERVICES OF GREATER ORLANDO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXCUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PHIL
Authorized Official - Middle Name:
Authorized Official - Last Name:FLYNN
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:407-644-7593
Mailing Address - Street 1:501 N ORLANDO AVE STE 313
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-7310
Mailing Address - Country:US
Mailing Address - Phone:407-644-7593
Mailing Address - Fax:407-209-0289
Practice Address - Street 1:2100 LEE RD
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-1862
Practice Address - Country:US
Practice Address - Phone:407-644-7593
Practice Address - Fax:407-209-0289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-13
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL103410500Medicaid
FL001190800Medicaid