Healthcare Provider Details

I. General information

NPI: 1669878294
Provider Name (Legal Business Name): CONNECTIONS SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2014
Last Update Date: 11/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8621 SANDY PLAINS DR
RIVERVIEW FL
33578-8617
US

IV. Provider business mailing address

8621 SANDY PLAINS DR
RIVERVIEW FL
33578-8617
US

V. Phone/Fax

Practice location:
  • Phone: 813-817-7333
  • Fax: 813-672-1334
Mailing address:
  • Phone: 813-817-7333
  • Fax: 813-672-1334

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number9999999999
License Number State

VIII. Authorized Official

Name: MS. OLIVIA DEE ANDERSON
Title or Position: OWNER
Credential:
Phone: 813-817-7333