Healthcare Provider Details
I. General information
NPI: 1225950561
Provider Name (Legal Business Name): SELECTIVE CARE SOLUTIONS OF FLORIDA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1180 S MAIN ST
BELL FL
32619-2378
US
IV. Provider business mailing address
1970 SW 15TH WAY
BELL FL
32619-1412
US
V. Phone/Fax
- Phone: 207-205-6723
- Fax: 207-205-6723
- Phone: 207-205-6723
- Fax: 207-205-6723
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 376J00000X |
| Taxonomy | Homemaker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARGARET
CHRISTINE
TARDIF
Title or Position: OWNER
Credential: TARDIF
Phone: 207-205-6723