Healthcare Provider Details

I. General information

NPI: 1689857278
Provider Name (Legal Business Name): WORLD CONNECT AGENCY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2007
Last Update Date: 02/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 E AMELIA ST
ORLANDO FL
32801-1301
US

IV. Provider business mailing address

511 ELDRON AVE
DELTONA FL
32738-8846
US

V. Phone/Fax

Practice location:
  • Phone: 407-915-4957
  • Fax: 407-965-0183
Mailing address:
  • Phone: 407-915-4957
  • Fax: 407-965-0183

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateFL

VIII. Authorized Official

Name: MRS. ALEXA SOTO
Title or Position: PRESIDENT
Credential:
Phone: 407-921-8997