MEDICARE: EARLY CHILDHOOD DEVELOPMENT LLC

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	252Y00000X	Early Intervention Provider Agency

General Provider Information

NPI Number	:	1588422190
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EARLY CHILDHOOD DEVELOPMENT LLC

Provider Business Mailing Address
First Line	:	1378 SUN MEADOW DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32824-5076
Country	:	US
Telephone Number	:	407-446-7727
Fax Number	:

Provider Business Practice Location Address
First Line	:	1378 SUN MEADOW DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32824-5076
Country	:	US
Telephone Number	:	407-446-7727
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ZARRINA ZAFARZODA
Credential	:
Telephone Number	:	407-446-7727

Provider Enumeration Date	:	03/08/2024
Last Update Date	:	03/08/2024

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