MEDICARE: CALFLO SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility	9138	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023237062
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CALFLO SERVICES, INC.

Provider Business Mailing Address
First Line	:	4805 E LAKE DR
Second Line	:
City	:	WINTER SPRINGS
State	:	FL
Zip	:	32708-4606
Country	:	US
Telephone Number	:	407-695-1445
Fax Number	:

Provider Business Practice Location Address
First Line	:	4805 E LAKE DR
Second Line	:
City	:	WINTER SPRINGS
State	:	FL
Zip	:	32708-4606
Country	:	US
Telephone Number	:	407-695-1445
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ABRAHAM AUGUSTUS DEGUZMAN JR.
Credential	:
Telephone Number	:	407-695-1445

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	08/22/2020

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