MEDICARE: COMMUNITY OPTIONS OF CENTRAL FLORIDA

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	251E00000X	Home Health Agency	229842	FL
2	251E00000X	Home Health Agency		FL
3	251E00000X	Home Health Agency		FL

General Provider Information

NPI Number	:	1649335258
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY OPTIONS OF CENTRAL FLORIDA

Provider Business Mailing Address
First Line	:	1310 W. COLONIAL DR
Second Line	:	# 8
City	:	ORLANDO
State	:	FL
Zip	:	32804
Country	:	US
Telephone Number	:	407-999-9039
Fax Number	:	407-999-5608

Provider Business Practice Location Address
First Line	:	1310 W COLONIAL DR
Second Line	:	# 8
City	:	ORLANDO
State	:	FL
Zip	:	32804-7139
Country	:	US
Telephone Number	:	407-999-9039
Fax Number	:	407-999-5608

Authorized Official
Title or Position	:	CEO PRESIDENT
Name	:	MRS. ELEANORE D GRAHAM
Credential	:
Telephone Number	:	407-999-9039

Provider Enumeration Date	:	12/26/2006
Last Update Date	:	08/22/2020

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