Healthcare Provider Details

I. General information

NPI: 1043653520
Provider Name (Legal Business Name): CARE DYNAMICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2013
Last Update Date: 04/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3022 SEABROOK AVE
ORLANDO FL
32805-6007
US

IV. Provider business mailing address

3022 SEABROOK AVE
ORLANDO FL
32805-6007
US

V. Phone/Fax

Practice location:
  • Phone: 407-271-5493
  • Fax:
Mailing address:
  • Phone: 407-271-5493
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. DESHAWNDRE DENISE BRIDLEY
Title or Position: OWNER/PHARMACIST
Credential: PHARMD
Phone: 407-271-5493