| Caribbean Community Connection Of Orlando, Inc. | |
|
122 W Sproule Ave Kissimmee FL 34741-5048 | |
| (407) 473-7616 | |
| (321) 428-3600 |
| Full Name | Caribbean Community Connection Of Orlando, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 122 W Sproule Ave, Kissimmee, Florida |
| Authorized Official Name and Position | Anjiro Gabriel (CEO) |
| Authorized Official Contact | 4074731442 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caribbean Community Connection Of Orlando, Inc. 620 New Mexico Woods Ct Orlando FL 32824-7552 Ph: (407) 473-1442 | Caribbean Community Connection Of Orlando, Inc. 122 W Sproule Ave Kissimmee FL 34741-5048 Ph: (407) 473-7616 |
| NPI Number | 1750511291 |
|---|---|
| Provider Enumeration Date | 07/17/2009 |
| Last Update Date | 10/25/2024 |
| Certification Date | 10/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750511291 | NPI | - | NPPES |
| 1228 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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