Healthcare Provider Details

I. General information

NPI: 1063365013
Provider Name (Legal Business Name): ANCHOR BRIDGE CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2026
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7808 LAKESIDE WOODS DR
ORLANDO FL
32810-2927
US

IV. Provider business mailing address

4375 BERRY OAK DR
APOPKA FL
32712-5794
US

V. Phone/Fax

Practice location:
  • Phone: 407-456-3444
  • Fax:
Mailing address:
  • Phone: 407-456-3444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: JEANIQUE MICHELLE JACQUES TUCKER
Title or Position: MANAGING MEMBER
Credential: RN
Phone: 407-456-3444