| Children's Home Society Of Florida | |
|
4475 Us Highway 1 S St Augustine FL 32086-7284 | |
| (321) 397-3000 | |
| Not Available |
| Full Name | Children's Home Society Of Florida |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4475 Us Highway 1 S, St Augustine, Florida |
| Authorized Official Name and Position | Eileen Tosolini (PROVIDER RELATIONS MANAGER) |
| Authorized Official Contact | 4073752565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Home Society Of Florida 5766 S Semoran Blvd Orlando FL 32822-4818 Ph: (321) 397-3000 | Children's Home Society Of Florida 4475 Us Highway 1 S St Augustine FL 32086-7284 Ph: (321) 397-3000 |
| NPI Number | 1821762170 |
|---|---|
| Provider Enumeration Date | 08/02/2021 |
| Last Update Date | 08/02/2021 |
| Certification Date | 08/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821762170 | NPI | - | NPPES |
| 360015706 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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