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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 : 1548317142
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 : 1940 MARAVILLA AVE
Second Line :
City : FORT MYERS
State : FL
Zip : 33901-7135
Country : US
Telephone Number : 239-334-0222
Fax Number :
Authorized Official
Title or Position : CEO
Name : MR. DAVID BUNDY
Credential :
Telephone Number : 321-397-3000
Provider Enumeration Date : 01/04/2007
Last Update Date : 08/22/2020

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

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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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