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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
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1275630576
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 : 904-348-2818
Authorized Official
Title or Position : CEO
Name : MR. DAVID BUNDY
Credential :
Telephone Number : 321-397-3000
Provider Enumeration Date : 09/20/2006
Last Update Date : 08/22/2020

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

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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