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NPI Code Detail

MEDICARE: UNITED CEREBRAL PALSY OF CENTRAL FLORIDA, INC.

MEDICARE: UNITED CEREBRAL PALSY OF CENTRAL FLORIDA, 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
1261Q00000XClinic/Center
2251V00000XVoluntary or Charitable AgencyBUS0022327-001FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831122019
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNITED CEREBRAL PALSY OF CENTRAL FLORIDA, INC.
Provider Business Mailing Address
First Line : 4780 DATA CT
Second Line :
City : ORLANDO
State : FL
Zip : 32817-8331
Country : US
Telephone Number : 407-852-3328
Fax Number :
Provider Business Practice Location Address
First Line : 4780 DATA CT
Second Line :
City : ORLANDO
State : FL
Zip : 32817-8331
Country : US
Telephone Number : 407-904-0133
Fax Number :
Authorized Official
Title or Position : CEO PRESIDENT
Name : ILENE WILKINS
Credential :
Telephone Number : 407-852-3303
Provider Enumeration Date : 07/09/2006
Last Update Date : 10/12/2023

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