Healthcare Provider Details

I. General information

NPI: 1245167246
Provider Name (Legal Business Name): ABILITY BRIDGE GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5697 SW 49TH RD UNIT 7203
OCALA FL
34474-5676
US

IV. Provider business mailing address

5697 SW 49TH RD UNIT 7203
OCALA FL
34474-5676
US

V. Phone/Fax

Practice location:
  • Phone: 813-294-2362
  • Fax:
Mailing address:
  • Phone: 813-294-2362
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: LAURA S STARKS
Title or Position: ADMINISTRATOR
Credential:
Phone: 813-294-2362