| Support Unlimited, Inc. | |
|
6249 Edgewater Drive V1, Ste. 7 Orlando FL 32810-3281 | |
| (407) 625-8228 | |
| (407) 289-8801 |
| Full Name | Support Unlimited, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 6249 Edgewater Drive, Orlando, Florida |
| Authorized Official Name and Position | Regina Padgett (PRESIDENT) |
| Authorized Official Contact | 4076258228 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Support Unlimited, Inc. Po Box 608503 Orlando FL 32860-8503 Ph: (407) 625-8228 | Support Unlimited, Inc. 6249 Edgewater Drive V1, Ste. 7 Orlando FL 32810-3281 Ph: (407) 625-8228 |
| NPI Number | 1790058733 |
|---|---|
| Provider Enumeration Date | 02/22/2012 |
| Last Update Date | 01/27/2023 |
| Certification Date | 09/12/2022 |
| Medicare PECOS PAC ID | 8628432564 |
|---|---|
| Medicare Enrollment ID | O20230912001252 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790058733 | NPI | - | NPPES |
| Provider Name | Regina Padgett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902179948 PECOS PAC ID: 9537523477 Enrollment ID: I20231011000479 |
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