Healthcare Provider Details

I. General information

NPI: 1548430523
Provider Name (Legal Business Name): UNITED CEREBRAL PALSY OF CENTRAL FLORIDA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2008
Last Update Date: 07/21/2022
Certification Date: 10/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3305 S ORANGE AVE
ORLANDO FL
32806-6125
US

IV. Provider business mailing address

3305 S ORANGE AVE
ORLANDO FL
32806-6125
US

V. Phone/Fax

Practice location:
  • Phone: 407-852-3370
  • Fax: 407-852-3301
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number StateFL

VIII. Authorized Official

Name: MS. ILENE WILKINS
Title or Position: CEO PRESIDENT
Credential:
Phone: 407-852-3320