| Children's Home Socity Of Florida | |
|
20162 Cortez Blvd Brooksville FL 34601-3832 | |
| (352) 754-1111 | |
| Not Available |
| Full Name | Children's Home Socity Of Florida |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 20162 Cortez Blvd, Brooksville, 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 Socity Of Florida 1485 S Semoran Blvd Suite 1448 Winter Park FL 32792-5533 Ph: (321) 397-3000 | Children's Home Socity Of Florida 20162 Cortez Blvd Brooksville FL 34601-3832 Ph: (352) 754-1111 |
| NPI Number | 1508171463 |
|---|---|
| Provider Enumeration Date | 08/16/2010 |
| Last Update Date | 08/02/2021 |
| Certification Date | 08/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508171463 | NPI | - | NPPES |
| 070971915 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 100005094 (Florida) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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The Wilson Group Billing Claims And Healthcare Management, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12200 Cortez Blvd, Brooksville, FL 34613 Phone: 352-597-5792 | |
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