MEDICARE: AURORA COMMUNITY SERVICES CORP

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1376092338
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AURORA COMMUNITY SERVICES CORP

Provider Business Mailing Address
First Line	:	7041 GRAND NATIONAL DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-8381
Country	:	US
Telephone Number	:	786-277-2266
Fax Number	:

Provider Business Practice Location Address
First Line	:	7041 GRAND NATIONAL DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-8381
Country	:	US
Telephone Number	:	786-277-2266
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	NADIN RUIZ
Credential	:
Telephone Number	:	786-277-2266

Provider Enumeration Date	:	09/30/2016
Last Update Date	:	09/30/2016

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