Healthcare Provider Details

I. General information

NPI: 1487998357
Provider Name (Legal Business Name): CMC HEALTH CARE & STAFFING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2012
Last Update Date: 05/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7802 PURITAN RD
ORLANDO FL
32807-8418
US

IV. Provider business mailing address

7802 PURITAN RD
ORLANDO FL
32807
US

V. Phone/Fax

Practice location:
  • Phone: 407-618-9718
  • Fax: 407-730-5553
Mailing address:
  • Phone: 407-618-9718
  • Fax: 407-730-5553

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number232891
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number232891
License Number StateFL

VIII. Authorized Official

Name: RICARDO COLON
Title or Position: PRESIDENT
Credential: CNA
Phone: 407-617-9718