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

Fresh Heads Orlando, LLC

Organization Other Technician · NPI 1700316460

Fresh Heads Orlando, LLC is an Other Technician in Winter Park, Florida. Registered with an NPI since 2017.

In the registry since
2017
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

2273 Lee Rd Ste 100
Winter Park, FL 32789-7213
Phone: (904) 235-3157
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Other Technician (primary) Taxonomy 247200000X

Record details

NPI number1700316460
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dwight Ottesen — Owner · (904) 686-4175
NPI enumeratedJune 15, 2017
Last updated in NPPESJune 15, 2017
Mailing address653 Lake Stone Cir, Ponte Vedra Beach, FL 32082-4342

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