Healthcare Provider Details

I. General information

NPI: 1912913377
Provider Name (Legal Business Name): CDSS CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 02/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3122 E COLONIAL DR
ORLANDO FL
32803-5175
US

IV. Provider business mailing address

3122 E COLONIAL DR
ORLANDO FL
32803-5175
US

V. Phone/Fax

Practice location:
  • Phone: 407-897-3209
  • Fax: 407-898-5813
Mailing address:
  • Phone: 407-897-3209
  • Fax: 407-898-5813

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: COLLEEN KLECZKOWSKI
Title or Position: OWNER
Credential:
Phone: 407-897-3209