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General NPI Number Information
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NPI Number | 1184709610
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Entity Type | Organization
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Legal Business Name | CHILDREN'S HOME SOCIETY OF FLORIDA
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 1530 CORNERSTONE BLVD STE 100
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City | DAYTONA BEACH
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State | FL
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Zip | 32117-7129
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Country | US
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Telephone | 386-304-7600
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Fax |
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Provider Business Mailing Address
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Address Line | 5768 S SEMORAN BLVD
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City | ORLANDO
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State | FL
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Zip | 32822-4818
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Country | US
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Telephone | 321-397-3000
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Fax | 321-397-3024
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Authorized Official
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Title or Position | CEO
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Name | MRS. ANDRY SWEET
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Credential |
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Telephone | 321-397-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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