SODO SUPPORTIVE HEALTH OUTREACH FOUNDATION, INC.
NPI 1689461956
General Practice in Orlando, FL

Active since April 21, 2025CLIA 10D2322879 · Waiver
220 E GORE ST, ORLANDO, FL 32806(407) 601-1501(407) 601-1502 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sodo Supportive Health Outreach Foundation, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SODO SUPPORTIVE HEALTH OUTREACH FOUNDATION, INC. (NPI 1689461956) is a healthcare organization registered as a general practice in Orlando, Florida and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through April 28, 2027 and lists Jillian Hall, President, as its authorized official.

NPPES Registry Identity

NPI1689461956
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSODO SUPPORTIVE HEALTH OUTREACH FOUNDATION, INC.
Location Address220 E GORE STOrlando, FL 32806-1224
Mailing Address220 E Gore StOrlando, FL 32806-1224 · (407) 601-1501 · Fax (407) 601-1502
Fax(407) 601-1502
Organization SubpartNo
Authorized OfficialJillian HallPresident · (407) 601-1501
Enumeration DateApril 21, 2025
Last NPPES UpdateJune 3, 2026
NPPES CertifiedJune 3, 2026
✔ NPI 1689461956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
220 E GORE ST, Orlando, FL 32806

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sodo Supportive Health Outreach Foundation, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Sodo Supportive Health Outreach Foundation, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1740601616
220 E GORE ST
Orlando, FL 32806
(407) 601-1501
✔ PECOSSame address
General Practice
NPI 1902931363
1609 E VINE ST
Kissimmee, FL 34744
(407) 944-1319
✔ PECOS✔ Accepts Medicare16 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2322879

Sodo Supportive Health Outreach Foundation, Inc · Orlando, FL
Active · expires Apr 28, 2027
CLIA Number10D2322879
Laboratory TypePhysician Office
Certificate Effective DateApril 29, 2025
Certificate Expiration DateApril 28, 2027
Laboratory DirectorMercedes Cabaleiro
Laboratory Phone(407) 601-1501
Laboratory LocationSodo Supportive Health Outreach Foundation, Inc220 E Gore St, Orlando, FL 32806
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sodo Supportive Health Outreach Foundation, Inc.'s NPI number?

The NPI number for Sodo Supportive Health Outreach Foundation, Inc. is 1689461956. It was assigned to this organization in the NPPES registry on April 21, 2025.

Where is Sodo Supportive Health Outreach Foundation, Inc. located?

Sodo Supportive Health Outreach Foundation, Inc. is located at 220 E Gore St, Orlando, FL 32806. The listed phone number is (407) 601-1501.

What is Sodo Supportive Health Outreach Foundation, Inc.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Sodo Supportive Health Outreach Foundation, Inc. enrolled in Medicare?

Yes. Sodo Supportive Health Outreach Foundation, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sodo Supportive Health Outreach Foundation, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Sodo Supportive Health Outreach Foundation, Inc., in General Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Sodo Supportive Health Outreach Foundation, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2322879) is associated with this NPI, valid through April 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sodo Supportive Health Outreach Foundation, Inc. was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.