Healthcare Provider Details

I. General information

NPI: 1447437140
Provider Name (Legal Business Name): FREEDOM OF CHOICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2008
Last Update Date: 01/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5153 ROBLE AVE
SPRING HILL FL
34608-2448
US

IV. Provider business mailing address

4142 MARINER BLVD # 428
SPRING HILL FL
34609-2468
US

V. Phone/Fax

Practice location:
  • Phone: 727-434-1282
  • Fax:
Mailing address:
  • Phone: 352-200-5270
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateFL

VIII. Authorized Official

Name: MR. IAN A COATES
Title or Position: C.E.O.
Credential:
Phone: 352-200-5270