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NPI Code Detail

MEDICARE: COMMUNITY MEDICAL SERVICES LLC

MEDICARE: COMMUNITY MEDICAL SERVICES 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
1163WW0000XWound Care Registered Nurse
2251S00000XCommunity/Behavioral Health Agency

Other Identifiers

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

General Provider Information

NPI Number : 1699468520
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY MEDICAL SERVICES LLC
Provider Business Mailing Address
First Line : 3910 S WASHINGTON AVE STE 207
Second Line :
City : TITUSVILLE
State : FL
Zip : 32780-5800
Country : US
Telephone Number : 321-210-9698
Fax Number : 321-225-4326
Provider Business Practice Location Address
First Line : 3910 S WASHINGTON AVE STE 207
Second Line :
City : TITUSVILLE
State : FL
Zip : 32780-5800
Country : US
Telephone Number : 321-210-9698
Fax Number : 321-225-4326
Authorized Official
Title or Position : CEO
Name : MATTHEW JOSEPH FIGAROLA
Credential :
Telephone Number : 321-210-9698
Provider Enumeration Date : 05/26/2023
Last Update Date : 02/17/2025

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Directions to “COMMUNITY MEDICAL SERVICES LLC ” Practice Location

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