Provider Demographics
NPI:1316730195
Name:LILITON LLC
Entity type:Organization
Organization Name:LILITON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:UCHENNA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHUDE
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:407-453-1216
Mailing Address - Street 1:847 SPRING PALMS LOOP
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-5338
Mailing Address - Country:US
Mailing Address - Phone:407-453-1216
Mailing Address - Fax:407-386-6552
Practice Address - Street 1:847 SPRING PALMS LOOP
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-5338
Practice Address - Country:US
Practice Address - Phone:407-453-1216
Practice Address - Fax:407-386-6552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-26
Last Update Date:2025-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty