Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fountain Life Orlando, LLC

Organization Clinic/Center · NPI 1699455956

Fountain Life Orlando, LLC is a Clinic/Center in Orlando, Florida. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6424 Alexandra Louise Dr Ste 120
Orlando, FL 32827-5812
Phone: (917) 810-8672
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1699455956
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Barbara Woo — Director Of Clinical Operations · (407) 725-1516
NPI enumeratedJuly 21, 2023
Last updated in NPPESJuly 21, 2023
Certification dateJuly 21, 2023
Mailing address6424 Alexandra Louise Dr Ste 120, Orlando, FL 32827-5812

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