Children's Home Society Of Florida | |
1300 S Duncan Dr Bldg. D Tavares FL 32778-4223 | |
(352) 742-6170 | |
Not Available |
Full Name | Children's Home Society Of Florida |
---|---|
Speciality | Community/behavioral Health |
Location | 1300 S Duncan Dr, Tavares, Florida |
Authorized Official Name and Position | David Bundy (PRESIDENT/CEO) |
Authorized Official Contact | 3213973000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Children's Home Society Of Florida 1485 S Semoran Blvd Suite 1448 Winter Park FL 32792-5533 Ph: (321) 397-3000 | Children's Home Society Of Florida 1300 S Duncan Dr Bldg. D Tavares FL 32778-4223 Ph: (352) 742-6170 |
NPI Number | 1912213075 |
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Provider Enumeration Date | 08/27/2010 |
Last Update Date | 10/14/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912213075 | NPI | - | NPPES |
070971900 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 100005094 (Florida) | Primary |
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