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FRESH HEADS ORLANDO, LLC
NPI 1700316460
Technician, Other in Winter Park, FL

Active since June 15, 2017
2273 LEE RD STE 100, WINTER PARK, FL 32789(904) 235-3157 Get Directions Write a Review

NPPES record last updated: June 15, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fresh Heads Orlando, Llc NPPES

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

FRESH HEADS ORLANDO, LLC (NPI 1700316460) is a healthcare organization registered as a technician, other in Winter Park, Florida and active in the NPI registry since June 2017. The organization lists Dwight Lee Ottesen, Owner, as its authorized official.

NPPES Registry Identity

NPI1700316460
Entity TypeOrganization
Primary Taxonomy247200000X
Legal Business NameFRESH HEADS ORLANDO, LLC
Location Address2273 LEE RD STE 100Winter Park, FL 32789-7213
Mailing Address653 Lake Stone CirPonte Vedra Beach, FL 32082-4342 · (904) 235-3157
Phone(904) 235-3157
Organization SubpartNo
Authorized OfficialDwight Lee OttesenOwner · (904) 686-4175
Enumeration DateJune 15, 2017
✔ NPI 1700316460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247200000X
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
2273 LEE RD STE 100, Winter Park, FL 32789
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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

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 Fresh Heads Orlando, LLC's NPI number?

The NPI number for Fresh Heads Orlando, LLC is 1700316460. It was assigned to this organization in the NPPES registry on June 15, 2017.

Where is Fresh Heads Orlando, LLC located?

Fresh Heads Orlando, LLC is located at 2273 Lee Rd Ste 100, Winter Park, FL 32789. The listed phone number is (904) 235-3157.

What is Fresh Heads Orlando, LLC's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Fresh Heads Orlando, LLC was last updated on June 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.