MEDICARE: INDEPENDENCE GROUP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134126758
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INDEPENDENCE GROUP

Provider Business Mailing Address
First Line	:	2233 PALM VIEW DR
Second Line	:
City	:	APOPKA
State	:	FL
Zip	:	32712-2438
Country	:	US
Telephone Number	:	407-464-9404
Fax Number	:	407-464-9404

Provider Business Practice Location Address
First Line	:	2233 PALM VIEW DR
Second Line	:
City	:	APOPKA
State	:	FL
Zip	:	32712-2438
Country	:	US
Telephone Number	:	407-464-9404
Fax Number	:	407-464-9404

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. LAURA KATHRYN DEBOWER
Credential	:
Telephone Number	:	407-464-9404

Provider Enumeration Date	:	06/29/2005
Last Update Date	:	12/15/2008

Similar Medicare Providers

1588809867 — INDEPENDENCE GROUP
Practice Location Address:

2233 PALM VIEW DR
APOPKA, FL
32712-2438

Practice Phone: 407-464-9404
Practice Fax: 407-464-9404

1871320044 — TAYLOR KIENTZ
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1225840754 — AUDIOLOGY SERVICES COMPANY USA, LLC
Practice Location Address:

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1558360370 — DR. BOLANLE AKAKABOTA MD
Practice Location Address:

515 WEKIVA COMMONS CIR
APOPKA, FL
32712-3645

Practice Phone: 407-464-9516
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1760481063 — DR. ADLAI STEVEN GREEN DC
Practice Location Address:

424 N PARK AVE
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1497756274 — MS. ANN MARIE CLARA HUNKAR-HUIE A.R.N.P.
Practice Location Address:

515 WEKIVA COMMONS CIR
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32712-3645

Practice Phone: 407-464-9516
Practice Fax:

Directions to “INDEPENDENCE GROUP ” Practice Location

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