MEDICARE: CENTRAL FLORIDA CARES HEALTH SYSTEM, INC.

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1508211061
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRAL FLORIDA CARES HEALTH SYSTEM, INC.

Provider Business Mailing Address
First Line	:	707 MENDHAM BLVD
Second Line	:	SUITE 201
City	:	ORLANDO
State	:	FL
Zip	:	32825-3205
Country	:	US
Telephone Number	:	407-985-3560
Fax Number	:

Provider Business Practice Location Address
First Line	:	707 MENDHAM BLVD
Second Line	:	SUITE 201
City	:	ORLANDO
State	:	FL
Zip	:	32825-3205
Country	:	US
Telephone Number	:	407-985-3560
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MARIA BLEDSOE
Credential	:
Telephone Number	:	407-985-3560

Provider Enumeration Date	:	05/03/2016
Last Update Date	:	07/06/2016

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