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NPI Code Detail

MEDICARE: CHILDREN'S HOME SOCIETY OF FLORIDA

MEDICARE: CHILDREN'S HOME SOCIETY OF FLORIDA
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1174608608
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHILDREN'S HOME SOCIETY OF FLORIDA
Provider Business Mailing Address
First Line : 1485 S SEMORAN BLVD
Second Line : SUITE 1448
City : WINTER PARK
State : FL
Zip : 32792-5533
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3027 SAN DIEGO RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-3691
Country : US
Telephone Number : 904-493-7744
Fax Number :
Authorized Official
Title or Position : CEO
Name : MR. DAVID BUNDY
Credential :
Telephone Number : 321-397-3000
Provider Enumeration Date : 10/25/2006
Last Update Date : 08/22/2020

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Directions to “CHILDREN'S HOME SOCIETY OF FLORIDA ” Practice Location

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