# SUPPORT COORDINATION SERVICES OF FLORIDA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144641176
- **Authorized official:** MS. EVADNIE WALTERS MBA (CEO)
- **Authorized official phone:** (407) 844-0747

## Contact information

- **Practice address:** 5212 MILL STREAM RD, OCOEE, FL 34761-8120
- **Practice address phone:** (407) 844-0747
- **Practice address fax:** (407) 574-7350
- **Mailing address:** 5212 MILL STREAM RD, OCOEE, FL 34761-8120
- **Mailing address phone:** (407) 844-0747
- **Mailing address fax:** (407) 574-7350

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 689607396 | FL | Yes |

## Other

- **Enumeration date:** 12/17/2013
- **Last updated:** 12/17/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 689607396 | — | FL |